Hajduk, Andrew James
Hajduk, Andrew James is an individual health care provider with primary practice located at 5502 Washington Ave Suite 500, Mount Pleasant WI 53406-4093. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hajduk, Andrew James can be contacted via phone (262) 637-2470.Contact Information
Primary practice address
5502 Washington Ave Suite 500
Mount Pleasant WI 53406-4093
Phone: (262) 637-2470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-017222 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11862-24 | Wisconsin |
Profile Details
| NPI number | 1063640134 |
|---|---|
| LBN Legal business name | Hajduk, Andrew James |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2009 |
| Last updated | Apr 19th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063640134 | NPPES |
| Illinois | Other | P00750703 | MEDICARE RAILROAD |
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