Niezgoda, Jeffrey A

Niezgoda, Jeffrey A is an individual health care provider with primary practice located at 2500 W Layton Ave Ste 30, Milwaukee WI 53221-5436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Niezgoda, Jeffrey A can be contacted via phone (414) 269-5336.

Contact Information

Primary practice address
2500 W Layton Ave Ste 30 Milwaukee WI 53221-5436
Phone: (414) 269-5336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 40360-020 Wisconsin

Profile Details

NPI number 1679537054
LBN Legal business name Niezgoda, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Sep 22nd, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679537054 NPPES
Wisconsin MEDICAID 32478300

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