Padezanin, Jude Dana

Padezanin, Jude Dana is an individual health care provider with primary practice located at 7979 Market St , Wilmington NC 28411-9383. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Padezanin, Jude Dana can be contacted via phone (910) 686-6845.

Contact Information

Primary practice address
7979 Market St Wilmington NC 28411-9383
Phone: (910) 686-6845
Fax: (910) 686-6837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4855 North Carolina

Profile Details

NPI number 1770532335
LBN Legal business name Padezanin, Jude Dana
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770532335 NPPES
North Carolina Other 1299T BCBS

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