Cichanowski, Heather R

Cichanowski, Heather R is an individual health care provider with primary practice located at 435 Phalen Blvd Mail Stop 51103H, Saint Paul MN 55130-5302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Cichanowski, Heather R can be contacted via phone (651) 254-8300.

Contact Information

Primary practice address
435 Phalen Blvd Mail Stop 51103H Saint Paul MN 55130-5302
Phone: (651) 254-8300
Fax: (651) 254-8379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46784020 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 44664 Minnesota

Profile Details

NPI number 1295701548
LBN Legal business name Cichanowski, Heather R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated May 22nd, 2012 - about 14 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 1295701548 NPPES
Minnesota MEDICAID 177272400

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