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Contact Information

MICHAEL SIERACKI, PA-C
400 NASH MEDICAL ARTS MALL
ROCKY MOUNT, NC27804-1415
 Phone: 252-962-5300
 Fax: 252-962-5309
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL SIERACKI · (Male)

NPI Number 1114915790
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/08/2005
Last updated 10/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-01048
  • NY License # 0054831
  • NY Other 000570104002 BLLUE CROSS/BLUE SHIELD
  • NY Other 9511931 INDEPENDENT HEALTH
  • NY Other 00026498001 UNIVERA
Hospital affiliation(s)
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
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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