Barczak, Gregory

Barczak, Gregory is an individual health care provider with primary practice located at W180N7950 Town Hall Rd , Menomonee Falls WI 53051-4049. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Barczak, Gregory can be contacted via phone (252) 255-2500.

Contact Information

Primary practice address
W180N7950 Town Hall Rd Menomonee Falls WI 53051-4049
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 635 Wisconsin

Profile Details

NPI number 1235101478
LBN Legal business name Barczak, Gregory
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Nov 16th, 2012 - about 12 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 1235101478 NPPES
Wisconsin MEDICAID 43214900

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