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Contact Information

JEFFREY A CIESLAK, LAT,AT,C, EMT
400 W RIVERWOODS PKWY
GLENDALE, WI53212
 Phone: 414-465-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JEFFREY A CIESLAK · (Male)

NPI Number 1457740979
Status Active
Credentials LAT,AT,C, EMT
Entity Individual
Enumeration date 01/21/2015
Last updated 01/21/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 0000195-039
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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