MEDICARE: JEFFREY SINICKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	4704297724	MI
2	163WC0200X	Critical Care Medicine Registered Nurse	4704297724	MI

General Provider Information

NPI Number	:	1689219743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY SINICKI

Provider Business Mailing Address
First Line	:	303 E KEARSLEY ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48502-1907
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 E KEARSLEY ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48502-1907
Country	:	US
Telephone Number	:	989-225-2832
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2019
Last Update Date	:	12/16/2022

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Directions to “ JEFFREY SINICKI ” Practice Location

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