Rochacewicz, Frederick W

Rochacewicz, Frederick W is an individual health care provider with primary practice located at 2817 New Pinery Rd Divine Savior Healthcare Inc, Portage WI 53901-9257. 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. Rochacewicz, Frederick W can be contacted via phone (608) 745-4598.

Contact Information

Primary practice address
2817 New Pinery Rd Divine Savior Healthcare Inc Portage WI 53901-9257
Phone: (608) 745-4598
Fax: (608) 745-6242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 678023 Wisconsin

Profile Details

NPI number 1992788905
LBN Legal business name Rochacewicz, Frederick W
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1992788905 NPPES
Wisconsin MEDICAID 42952000

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