Ziarko, Mitchell Jacob
Ziarko, Mitchell Jacob is an individual health care provider with primary practice located at 6308 8Th Avenue Suite 2000, Kenosha WI 53143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ziarko, Mitchell Jacob can be contacted via phone (262) 653-5300.Contact Information
Primary practice address
6308 8Th Avenue Suite 2000
Kenosha WI 53143
Phone: (262) 653-5300
Fax: (262) 653-5412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21900 | Wisconsin |
Profile Details
| NPI number | 1336195288 |
|---|---|
| LBN Legal business name | Ziarko, Mitchell Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Mar 14th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336195288 | NPPES |
| Wisconsin | MEDICAID | 30178400 |
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