Tkachuk, Megan A

Tkachuk, Megan A is an individual health care provider with primary practice located at 1640 E Sumner St , Hartford WI 53027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tkachuk, Megan A can be contacted via phone (262) 670-4000.

Contact Information

Primary practice address
1640 E Sumner St Hartford WI 53027
Fax: (262) 670-4001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47320 Wisconsin

Profile Details

NPI number 1790719086
LBN Legal business name Tkachuk, Megan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 30th, 2021 - about 5 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 1790719086 NPPES
Wisconsin MEDICAID 34602800
Wisconsin Other P01087256

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