Grzelka, Jeffrey C

Grzelka, Jeffrey C is an individual health care provider with primary practice located at 252 Mchenry St , Burlington WI 53105-1828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Grzelka, Jeffrey C can be contacted via phone (262) 767-6000.

Contact Information

Primary practice address
252 Mchenry St Burlington WI 53105-1828
Phone: (262) 767-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 75435 Wisconsin

Profile Details

NPI number 1780124875
LBN Legal business name Grzelka, Jeffrey C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2017
Last updated Jul 12th, 2024 - about last year

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 1780124875 NPPES
Wisconsin MEDICAID 100174404

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