Czarnezki, Tara Jean

Czarnezki, Tara Jean is an individual health care provider with primary practice located at 425 Pine Ridge Blvd Suite 300, Wausau WI 54401-4123. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Czarnezki, Tara Jean can be contacted via phone (715) 847-0402.

Contact Information

Primary practice address
425 Pine Ridge Blvd Suite 300 Wausau WI 54401-4123
Phone: (715) 847-0402
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1316169808
LBN Legal business name Czarnezki, Tara Jean
Credentials Certified Surgical Technologist (CST)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1316169808 NPPES
Other 081195 NATIONAL BOARD OF SURGICA

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