Ticku, Jonathan

Ticku, Jonathan is an individual health care provider with primary practice located at 800 West Ave S , La Crosse WI 54601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Ticku, Jonathan can be contacted via phone (608) 785-0940.

Contact Information

Primary practice address
800 West Ave S La Crosse WI 54601
Phone: (608) 785-0940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME105784 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 61177 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 61177 Wisconsin

Profile Details

NPI number 1922259589
LBN Legal business name Ticku, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated Oct 27th, 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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