Pakula, Jeffrey L

Pakula, Jeffrey L is an individual health care provider with primary practice located at 13634 N 93Rd Ave Suite 300, Peoria AZ 85381-4915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pakula, Jeffrey L can be contacted via phone (623) 815-2484.

Contact Information

Primary practice address
13634 N 93Rd Ave Suite 300 Peoria AZ 85381-4915
Fax: (623) 815-2483
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 3203 Arizona

Profile Details

NPI number 1821090408
LBN Legal business name Pakula, Jeffrey L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 10th, 2014 - about 10 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 1821090408 NPPES
Arizona MEDICAID 386351

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