Medrek, Paul
Medrek, Paul is an individual health care provider with primary practice located at Baystate Health 3400A Main St, Springfield MA 01199-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Medrek, Paul can be contacted via phone (413) 794-2176.Contact Information
Primary practice address
Baystate Health 3400A Main St
Springfield MA 01199-0001
Phone: (413) 794-2176
Fax: (413) 794-5751
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 72091 | Massachusetts |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 72091 | Massachusetts |
Profile Details
NPI number | 1760476360 |
---|---|
LBN Legal business name | Medrek, Paul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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 | 1760476360 | NPPES |
Massachusetts | MEDICAID | 3067327 |
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