Wierzbicka, Grazyna

Wierzbicka, Grazyna is an individual health care provider with primary practice located at 4105 Hospital St Ste 103, Pascagoula MS 39581-5312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wierzbicka, Grazyna can be contacted via phone (228) 762-8712.

Contact Information

Primary practice address
4105 Hospital St Ste 103 Pascagoula MS 39581-5312
Phone: (228) 762-8712
Fax: (228) 762-2261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15642 Mississippi

Profile Details

NPI number 1265409478
LBN Legal business name Wierzbicka, Grazyna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265409478 NPPES
Mississippi Other 0004536051 AETNA
Mississippi MEDICAID 00118866 AETNA

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