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
Fax: (262) 653-5412
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336195288 NPPES
Wisconsin MEDICAID 30178400

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