Cichocki, Jeffrey A

Cichocki, Jeffrey A is an individual health care provider with primary practice located at 611 E Sherman Ave , Fort Atkinson WI 53538-1960. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cichocki, Jeffrey A can be contacted via phone (920) 568-5000.

Contact Information

Primary practice address
611 E Sherman Ave Fort Atkinson WI 53538-1960
Phone: (920) 568-5000
Fax: (920) 568-4004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1956-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041318224 Illinois

Profile Details

NPI number 1588762264
LBN Legal business name Cichocki, Jeffrey A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588762264 NPPES
Illinois Other 430055639 RAILROAD MEDICARE

Popular Providers