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
Phone: (623) 815-2484
Fax: (623) 815-2483
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821090408 | NPPES |
Arizona | MEDICAID | 386351 |
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