Kazmierczak, Gayle T
Kazmierczak, Gayle T is an sole proprietor health care provider with primary practice located at Children'S Health Sys Office Bldg 9000 West Wisconsin Avenue, Milwaukee WI 53226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kazmierczak, Gayle T can be contacted via phone (414) 805-3666.Contact Information
Primary practice address
Children'S Health Sys Office Bldg 9000 West Wisconsin Avenue
Milwaukee WI 53226
Phone: (414) 805-3666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 80344 | Wisconsin |
Profile Details
| NPI number | 1457302291 |
|---|---|
| LBN Legal business name | Kazmierczak, Gayle T |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1457302291 | NPPES |
| Wisconsin | MEDICAID | 39405600 |
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