Dr. Jack S. Bartoszek
Family Doctor - Geriatric Medicine
615 Fulmer Rd
Mishawaka
, Indiana 46544-6911
Dr. Jack S. Bartoszek
Family Doctor - Geriatric Medicine
615 Fulmer Rd
Mishawaka
, Indiana 46544-6911
(574) 252-5906
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Jack S. Bartoszek
- 4455 Edison Lakes Pkwy Unity Medical Surgical Hospital
- Mishawaka, IN
- Zip : 46545-1442
- Fax : (574) 252-5906
- Phone : (574) 252-3085
Second Address
- Dr. Jack S. Bartoszek
- 615 Fulmer Rd
- Mishawaka, IN
- Zip : 46544-6911
- Fax : (574) 252-5906
- Phone : (574) 252-3085
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 02001105 | IN |
National Provider Identifier
| NPI | 1093714818 |
|---|---|
| Provider Name | Dr. Jack S. Bartoszek |
| First Address | Mishawaka, IN 46545-1442 |
| Second Address | Mishawaka, IN 46544-6911 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2005 |
| Last Update Date | 20/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000109340 | ANTHEM NUMBER (01) | IN |
| 100335800A | (05) | IN |
| E33584 | (02) | |
| OA41009 | BCBSM (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.