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Contact Information

BENNETT J PASTIKA, DO
855 N WESTHAVEN DR
OSHKOSH, WI54904-7668
 Phone: 920-303-8700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for BENNETT J PASTIKA · (Male)

NPI Number 1467448977
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/21/2005
Last updated 07/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036077460
  • WI License # 35507
  • WI Medicaid 30062100
Hospital affiliation(s)
  • AURORA MED CTR OSHKOSH - (Acute Care)
    855 N WESTHAVEN DRIVE
    OSHKOSH, WI 54904
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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