Andrzejewski, Jerzy Jan

Andrzejewski, Jerzy Jan is an individual health care provider with primary practice located at Twin Ports Outpatient Clinic 3520 Tower Avenue, Superior WI 54880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Andrzejewski, Jerzy Jan can be contacted via phone (715) 392-9711.

Contact Information

Primary practice address
Twin Ports Outpatient Clinic 3520 Tower Avenue Superior WI 54880
Phone: (715) 392-9711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45598-020 Wisconsin

Profile Details

NPI number 1093759391
LBN Legal business name Andrzejewski, Jerzy Jan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1093759391 NPPES
Wisconsin MEDICAID 34423600

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