Cichocki, Gerald Anthony

Cichocki, Gerald Anthony is an individual health care provider with primary practice located at 328 S Bonaventure Ave Ste. #4, Trinidad CO 81082-2086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cichocki, Gerald Anthony can be contacted via phone (719) 846-2388.

Contact Information

Primary practice address
328 S Bonaventure Ave Ste. #4 Trinidad CO 81082-2086
Phone: (719) 846-2388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 43028 Colorado
Allopathic & Osteopathic Physicians / Urology 208800000X OH35-034809 Ohio

Profile Details

NPI number 1093770471
LBN Legal business name Cichocki, Gerald Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 1st, 2013 - about 11 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 1093770471 NPPES
Colorado MEDICAID 97350818

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