Cichanowski, Heather R
Cichanowski, Heather R is an individual health care provider with primary practice located at 435 Phalen Blvd Mail Stop 51103H, Saint Paul MN 55130-5302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Cichanowski, Heather R can be contacted via phone (651) 254-8300.Contact Information
Primary practice address
435 Phalen Blvd Mail Stop 51103H
Saint Paul MN 55130-5302
Phone: (651) 254-8300
Fax: (651) 254-8379
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 46784020 | Wisconsin |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 44664 | Minnesota |
Profile Details
NPI number | 1295701548 |
---|---|
LBN Legal business name | Cichanowski, Heather R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2006 |
Last updated | May 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295701548 | NPPES |
Minnesota | MEDICAID | 177272400 |
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