Pacanowski, Roger Thomas
Pacanowski, Roger Thomas is an individual health care provider with primary practice located at 6308 8Th Ave , Kenosha WI 53143-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pacanowski, Roger Thomas can be contacted via phone (262) 656-8217.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 16095 | Wisconsin |
Profile Details
| NPI number | 1720112030 |
|---|---|
| LBN Legal business name | Pacanowski, Roger Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1720112030 | NPPES |
| Wisconsin | Other | 16095 | MEDICAL LICENSE |
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