Pencikowski, David J
Pencikowski, David J is an individual health care provider with primary practice located at 3611 S Chicago Ave , South Milwaukee WI 53172-3738. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Pencikowski, David J can be contacted via phone (414) 762-2450.Contact Information
Primary practice address
3611 S Chicago Ave
South Milwaukee WI 53172-3738
Phone: (414) 762-2450
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3008-33 | Wisconsin |
Profile Details
NPI number | 1962579243 |
---|---|
LBN Legal business name | Pencikowski, David J |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2006 |
Last updated | Nov 30th, 2021 - 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.
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