Zajicek, Daniel W

Zajicek, Daniel W is an individual health care provider with primary practice located at 1611 S Madison St , Appleton WI 54915-1844. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Zajicek, Daniel W can be contacted via phone (920) 730-6700.

Contact Information

Primary practice address
1611 S Madison St Appleton WI 54915-1844
Phone: (920) 730-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 581 Wisconsin

Profile Details

NPI number 1437146198
LBN Legal business name Zajicek, Daniel W
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Dec 11th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437146198 NPPES
Wisconsin MEDICAID 42928200

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