Czarnecki, David Joseph

Czarnecki, David Joseph is an individual health care provider with primary practice located at 725 American Ave , Waukesha WI 53188-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Czarnecki, David Joseph can be contacted via phone (262) 928-2400.

Contact Information

Primary practice address
725 American Ave Waukesha WI 53188-5031
Fax: (262) 928-7621
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25913-020 Wisconsin

Profile Details

NPI number 1053306613
LBN Legal business name Czarnecki, David Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
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 1053306613 NPPES
Wisconsin MEDICAID 31512500

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