Czajka, Michael W

Czajka, Michael W is an individual health care provider with primary practice located at 1465 S Grand Blvd Division Of Pediatric Cardiology, Saint Louis MO 63104-1003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Czajka, Michael W can be contacted via phone (314) 577-5674.

Contact Information

Primary practice address
1465 S Grand Blvd Division Of Pediatric Cardiology Saint Louis MO 63104-1003
Phone: (314) 577-5674
Fax: (314) 268-4141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 144420 Missouri

Profile Details

NPI number 1912941451
LBN Legal business name Czajka, Michael W
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Oct 29th, 2020 - about 4 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 1912941451 NPPES
Missouri MEDICAID 427508304

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