Baczwaski, Robert

Baczwaski, Robert is an individual health care provider with primary practice located at 2720 Stone Park Blvd , Sioux City IA 51104-3734. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Baczwaski, Robert can be contacted via phone (712) 255-2324.

Contact Information

Primary practice address
2720 Stone Park Blvd Sioux City IA 51104-3734
Phone: (712) 255-2324
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 049221 Iowa

Profile Details

NPI number 1013954155
LBN Legal business name Baczwaski, Robert
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated May 1st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013954155 NPPES
Iowa MEDICAID 0123703
Iowa MEDICAID 0123695

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