Cecka, Jan W

Cecka, Jan W is an individual health care provider with primary practice located at 126 E Mill St , Plymouth WI 53073-1704. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cecka, Jan W can be contacted via phone (920) 892-8920.

Contact Information

Primary practice address
126 E Mill St Plymouth WI 53073-1704
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2629-012 Wisconsin

Profile Details

NPI number 1235237603
LBN Legal business name Cecka, Jan W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 12th, 2011 - about 14 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 1235237603 NPPES
Wisconsin MEDICAID 38852600

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