Siennicki, Gerald
Siennicki, Gerald is an individual health care provider with primary practice located at 350 N Ridgewood Ave , Daytona Beach FL 32114. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Siennicki, Gerald can be contacted via phone (386) 238-3200.Contact Information
Primary practice address
350 N Ridgewood Ave
Daytona Beach FL 32114
Phone: (386) 238-3200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA0002887 | Florida |
Profile Details
NPI number | 1700846912 |
---|---|
LBN Legal business name | Siennicki, Gerald |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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