Czyzyk, Jan K

Czyzyk, Jan K is an individual health care provider with primary practice located at 500 Harvard St Se , Minneapolis MN 55455-0363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Czyzyk, Jan K can be contacted via phone (612) 273-3000.

Contact Information

Primary practice address
500 Harvard St Se Minneapolis MN 55455-0363
Phone: (612) 273-3000
Fax: (612) 273-4370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 039224 Connecticut
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 63410 Minnesota

Profile Details

NPI number 1285617407
LBN Legal business name Czyzyk, Jan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Apr 24th, 2018 - about 6 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 1285617407 NPPES
Connecticut MEDICAID 001392240

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