Czuk, Carol

Czuk, Carol is an individual health care provider with primary practice located at 2690 S Cleveland Ave , Saint Joseph MI 49085-3002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Czuk, Carol can be contacted via phone (269) 428-2800.

Contact Information

Primary practice address
2690 S Cleveland Ave Saint Joseph MI 49085-3002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704133044 Michigan

Profile Details

NPI number 1831184605
LBN Legal business name Czuk, Carol
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Mar 7th, 2023 - about 2 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 1831184605 NPPES
Other P00382884 RR MEDICARE
MEDICAID 4960089 RR MEDICARE
Other 5008769570 RR MEDICARE

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