Suchocki, Gina M

Suchocki, Gina M is an individual health care provider with primary practice located at 112 N Us Highway 141 , Crivitz WI 54114-1708. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Suchocki, Gina M can be contacted via phone (715) 854-3940.

Contact Information

Primary practice address
112 N Us Highway 141 Crivitz WI 54114-1708
Phone: (715) 854-3940
Fax: (715) 854-3941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7658-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7658 Wisconsin

Profile Details

NPI number 1770018756
LBN Legal business name Suchocki, Gina M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2017
Last updated Oct 4th, 2023 - about 3 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 1770018756 NPPES
Wisconsin MEDICAID 100067621
Wisconsin Other 473548414

Popular Providers