Kaczmark, Todd Wallace

Kaczmark, Todd Wallace is an individual health care provider with primary practice located at 601 Colliers Way , Weirton WV 26062-5014. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Kaczmark, Todd Wallace can be contacted via phone (304) 797-6000.

Contact Information

Primary practice address
601 Colliers Way Weirton WV 26062-5014
Phone: (304) 797-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 74410 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 081278 Pennsylvania

Profile Details

NPI number 1881838753
LBN Legal business name Kaczmark, Todd Wallace
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2009
Last updated Apr 23rd, 2009 - about 16 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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