Trzeciak, Marc A

Trzeciak, Marc A is an individual health care provider with primary practice located at 609 E Orangeburg Ave Suite 201, Modesto CA 95350-5512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Trzeciak, Marc A can be contacted via phone (209) 572-3224.

Contact Information

Primary practice address
609 E Orangeburg Ave Suite 201 Modesto CA 95350-5512
Phone: (209) 572-3224
Fax: (209) 572-4528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 5505 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 20A12596 California
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 20A12596 California

Profile Details

NPI number 1033111026
LBN Legal business name Trzeciak, Marc A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 19th, 2013 - about 11 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 1033111026 NPPES
Ohio MEDICAID 0188461
Ohio Other 200168390

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