Czajka, Gregory A

Czajka, Gregory A is an individual health care provider with primary practice located at 180 Park Club Ln Ste 100, Williamsville NY 14221-5263. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Czajka, Gregory A can be contacted via phone (716) 839-9402.

Contact Information

Primary practice address
180 Park Club Ln Ste 100 Williamsville NY 14221-5263
Phone: (716) 839-9402
Fax: (716) 839-3570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1740265537
LBN Legal business name Czajka, Gregory A
Credentials RPA C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 18th, 2017 - about 9 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 1740265537 NPPES
Other 970007176 RAILROAD MEDICARE
Other 00026511001 RAILROAD MEDICARE
MEDICAID 01412591 RAILROAD MEDICARE
Other 000570002005 RAILROAD MEDICARE
Other 9512079 RAILROAD MEDICARE

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