Czarnecki, Thomas Nicholas

Czarnecki, Thomas Nicholas is an individual health care provider with primary practice located at N112W15415 Mequon Rd , Germantown WI 53022-3410. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Czarnecki, Thomas Nicholas can be contacted via phone (262) 250-7800.

Contact Information

Primary practice address
N112W15415 Mequon Rd Germantown WI 53022-3410
Phone: (262) 250-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 025-519 Wisconsin

Profile Details

NPI number 1881769776
LBN Legal business name Czarnecki, Thomas Nicholas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2006
Last updated Jun 12th, 2012 - about 13 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 1881769776 NPPES
Wisconsin MEDICAID 43205100

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