Provider Demographics
NPI:1508308990
Name:MAJEWSKI, DAVID KEITH
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:KEITH
Last Name:MAJEWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 JOHNS RD
Mailing Address - Street 2:
Mailing Address - City:NEW FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44216-9712
Mailing Address - Country:US
Mailing Address - Phone:330-329-7181
Mailing Address - Fax:
Practice Address - Street 1:1318 JOHNS RD
Practice Address - Street 2:
Practice Address - City:NEW FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:44216-9712
Practice Address - Country:US
Practice Address - Phone:330-329-7181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5112481910251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0087060Medicaid