| Susan E. Janocik M.D., PLLC | |
|
4003 Kresge Way Ste 226 Louisville KY 40207-4652 | |
| (502) 895-4772 | |
| Not Available |
| Full Name | Susan E. Janocik M.D., PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4003 Kresge Way Ste 226, Louisville, Kentucky |
| Authorized Official Name and Position | Susan E. Janocik (PRESIDENT) |
| Authorized Official Contact | 5028954772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E. Janocik M.D., PLLC 4003 Kresge Way Ste 226 Louisville KY 40207-4652 Ph: (502) 895-4772 | Susan E. Janocik M.D., PLLC 4003 Kresge Way Ste 226 Louisville KY 40207-4652 Ph: (502) 895-4772 |
| NPI Number | 1275714560 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 11/15/2007 |
| Medicare PECOS PAC ID | 2062502727 |
|---|---|
| Medicare Enrollment ID | O20071218000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275714560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Susan E Janocik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225101504 PECOS PAC ID: 7618067372 Enrollment ID: I20071218000344 |
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