| Sowinski M.d Pc | |
|
105 Mcdonald St Blacksburg VA 24060-3420 | |
| (540) 552-5545 | |
| (540) 552-5568 |
| Full Name | Sowinski M.d Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Mcdonald St, Blacksburg, Virginia |
| Authorized Official Name and Position | Kazimierz M. Sowinski (PRESIDENT) |
| Authorized Official Contact | 5405525545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sowinski M.d Pc 105 Mcdonald St Blacksburg VA 24060-3420 Ph: (540) 552-5545 | Sowinski M.d Pc 105 Mcdonald St Blacksburg VA 24060-3420 Ph: (540) 552-5545 |
| NPI Number | 1710148432 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 10/28/2008 |
| Medicare PECOS PAC ID | 8729156872 |
|---|---|
| Medicare Enrollment ID | O20081002000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710148432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101028568 (Virginia) | Primary |
| Provider Name | Kazimierz M Sowinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528045523 PECOS PAC ID: 6800963091 Enrollment ID: I20080930000767 |
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