Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 01072592A | IN |
N | 207X00000X | Orthopaedic Surgeon | 47401 | KY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A120536 | CA |
NPI | 1104083823 |
---|---|
Provider Name | Dr. Anthony Peter Czaplicki III |
First Address | Evansville, IN 47710-1739 |
Second Address | Evansville, IN 47710-1739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 26/11/2019 |