Czernicki, James V

Czernicki, James V is an individual health care provider with primary practice located at 36000 Euclid Ave , Willoughby OH 44094-4625. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Czernicki, James V can be contacted via phone (440) 953-9600.

Contact Information

Primary practice address
36000 Euclid Ave Willoughby OH 44094-4625
Phone: (440) 953-9600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67.000319 Ohio

Profile Details

NPI number 1922598291
LBN Legal business name Czernicki, James V
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2018
Last updated Mar 31st, 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 1922598291 NPPES
Ohio MEDICAID 0292799

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