Matthew Walter Jaenicke M.D.

  • NPI 1063892008
According to our database, the NPI number for Matthew Walter Jaenicke M.D. is 1063892008 and activated since 8 years ago. Matthew Walter Jaenicke M.D. is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 1711 Saint Julian Pl, Columbia, SC 29204. You can also contact Matthew Walter Jaenicke M.D. via telephone number is (803) 779-0911. Provider NPI information was last updated on 11/12/2020.

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Overview of Matthew Walter Jaenicke M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/04/2015
  • Last updated: 11/12/2020

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: VT

Provider Mailing Address

  • Address: 1711 Saint Julian Pl
    Columbia, SC 29204
  • Phone: 803-779-0911
  • Fax: 803-256-2480

Provider Practice Location

  • Address: 1711 Saint Julian Pl
    Columbia, SC 29204
  • Phone: 803-779-0911
  • Fax: 803-256-2480

Scope of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number:
  • License State: VT
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0000030538
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: VT
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Matthew Walter Jaenicke M.D.?
  • A: The npi number for Matthew Walter Jaenicke M.D. is 1063892008.
  • Q: What are Matthew Walter Jaenicke M.D.'s specialties?
  • A: Matthew Walter Jaenicke M.D.'s specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Matthew Walter Jaenicke M.D.?
  • A: The medical license number for Matthew Walter Jaenicke M.D. is unknow and issued in VT in USA.
  • Q: Where is Matthew Walter Jaenicke M.D. practice location?
  • A: Matthew Walter Jaenicke M.D. is practicing at 1711 Saint Julian Pl, Columbia, SC 29204.
  • Q: How to contact Matthew Walter Jaenicke M.D.?
  • A: You can contact Matthew Walter Jaenicke M.D. via 803-779-0911.
Medicare Specialty
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Clinical Pharmacology
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Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.