Krszjzaniek, Randy J
Krszjzaniek, Randy J is an individual health care provider with primary practice located at 1700 Tuttle St , Baraboo WI 53913-3319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Krszjzaniek, Randy J can be contacted via phone (608) 355-3800.Contact Information
Primary practice address
1700 Tuttle St
Baraboo WI 53913-3319
Phone: (608) 355-3800
Fax: (608) 355-7001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32853-020 | Wisconsin |
Profile Details
| NPI number | 1194781229 |
|---|---|
| LBN Legal business name | Krszjzaniek, Randy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Dec 4th, 2020 - about 4 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 | 1194781229 | NPPES |
| Wisconsin | MEDICAID | 1194781229 |
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