Chertack, Craig S

Chertack, Craig S is an sole proprietor health care provider with primary practice located at 225 Memorial Dr , Berlin WI 54923-1243. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Chertack, Craig S can be contacted via phone (920) 361-1313.

Contact Information

Primary practice address
225 Memorial Dr Berlin WI 54923-1243
Phone: (920) 361-1313
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 169890 New York
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18247 Wisconsin
Other Service Providers / Specialist 174400000X 169890 New York

Profile Details

NPI number 1811979487
LBN Legal business name Chertack, Craig S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Mar 28th, 2018 - about 8 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 1811979487 NPPES
New York Other 076011 MEDICARE GROUP NUMBER

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