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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

TERESA M GAJEWSKI, PA
124 SIEGLER ST
GREEN BAY, WI54303-2636
 Phone: 920-494-9661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TERESA M GAJEWSKI · (Female)

NPI Number 1508142001
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/27/2011
Last updated 09/23/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
WI License # 2859-23
Hospital affiliation(s) n/a
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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