Wasicek, Charles August
Wasicek, Charles August is an individual health care provider with primary practice located at 145 Clinton Street , Watertown NY 13601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Wasicek, Charles August can be contacted via phone (315) 782-5523.Contact Information
Primary practice address
145 Clinton Street
Watertown NY 13601
Phone: (315) 782-5523
Fax: (315) 782-0549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 122206 | New York |
Profile Details
| NPI number | 1619049038 |
|---|---|
| LBN Legal business name | Wasicek, Charles August |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | May 19th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619049038 | NPPES |
| New York | MEDICAID | 00875434MC |
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