Vercimak, Chad Robert

Vercimak, Chad Robert is an individual health care provider with primary practice located at 5200 Hummingbird Rd Ste 100, Wausau WI 54401-6312. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Vercimak, Chad Robert can be contacted via phone (715) 359-6442.

Contact Information

Primary practice address
5200 Hummingbird Rd Ste 100 Wausau WI 54401-6312
Phone: (715) 359-6442
Fax: (715) 393-0390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1932207834
LBN Legal business name Vercimak, Chad Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 7th, 2013 - about 13 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 1932207834 NPPES
Other 89655 NATIONAL CERTIFICATION SU

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