Pakula, David C

Pakula, David C is an sole proprietor health care provider with primary practice located at 222 Southway Suite B, Lewiston ID 83501-2703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pakula, David C can be contacted via phone (208) 746-3500.

Contact Information

Primary practice address
222 Southway Suite B Lewiston ID 83501-2703
Fax: (208) 746-6423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X M4761 Idaho
Allopathic & Osteopathic Physicians / Urology 208800000X 14070 Washington

Profile Details

NPI number 1609842723
LBN Legal business name Pakula, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 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 1609842723 NPPES
Washington MEDICAID 1016252

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