Wozniak, Jeffrey R
Wozniak, Jeffrey R is an individual health care provider with primary practice located at 2312 Sout 6Th Street Suite F256 / 2B W, Minneapolis MN 55454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as his primary health care specialty. Wozniak, Jeffrey R can be contacted via phone (612) 273-8700.Contact Information
Primary practice address
2312 Sout 6Th Street Suite F256 / 2B W
Minneapolis MN 55454
Phone: (612) 273-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | LP4183 | Minnesota |
Profile Details
| NPI number | 1760578215 |
|---|---|
| LBN Legal business name | Wozniak, Jeffrey R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1760578215 | NPPES |
| Minnesota | Other | 24G96WO | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 1022592 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 61-89892 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 90046 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 169466 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 124385 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | HP29901 | BLUE CROSS BLUE SHIELD |
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