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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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