Modrzynski, John P.
Modrzynski, John P. is an individual health care provider with primary practice located at N2934 State Road 22 , Wautoma WI 54982-5267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Modrzynski, John P. can be contacted via phone (920) 787-4613.Contact Information
Primary practice address
N2934 State Road 22
Wautoma WI 54982-5267
Phone: (920) 787-4613
Fax: (920) 787-5433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23162 | Wisconsin |
Profile Details
| NPI number | 1962475434 |
|---|---|
| LBN Legal business name | Modrzynski, John P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1962475434 | NPPES |
| Wisconsin | MEDICAID | 32833700 |
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