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Contact Information

TIMOTHY W PIECZARA, MS, LAT, ATC, EMT
11011 W NORTH AVE APT 119
WAUWATOSA, WI53226-2275
 Phone: 724-809-7968
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for TIMOTHY W PIECZARA · (Male)

NPI # 1407492358
Status Active
Credentials MS, LAT, ATC, EMT
Entity Individual
Enumeration date 11/25/2019
Last updated 09/26/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # 0966488
  • WI License # 3124-39
Hospital affiliation(s) Not Available
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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