Komaniecki, Pamela
Komaniecki, Pamela is an sole proprietor health care provider with primary practice located at 12 Health Services Dr , Dekalb IL 60115-9637. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Komaniecki, Pamela can be contacted via phone (815) 756-4875.Contact Information
Primary practice address
12 Health Services Dr
Dekalb IL 60115-9637
Phone: (815) 756-4875
Fax: (815) 756-2944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 049.1467133 | Illinois |
Profile Details
| NPI number | 1093427718 |
|---|---|
| LBN Legal business name | Komaniecki, Pamela |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2022 |
| Last updated | Dec 14th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093427718 | NPPES |
| Illinois | MEDICAID | 474579189001 |
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