CZARNECKI PODIATRY, INC.; NPI #1972716272

Contact Information

CZARNECKI PODIATRY, INC.

11203 N BUNTROCK AVE
SUITE 103
MEQUON, WI 53092-1857

Phone: 262-242-0095
Fax: 262-242-0884
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for CZARNECKI PODIATRY, INC.

NPI Number 1972716272

LBN Legal business name CZARNECKI PODIATRY, INC.

Authorized official THOMAS CZARNECKI - (PODIATRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/07/2007

Last updated 04/22/2008 - About 18 years ago

Identifiers

WI	License #	025-519
WI	Medicaid	43268500

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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