Pakulat, Mark
Pakulat, Mark is an sole proprietor health care provider with primary practice located at 15004 Innovation Dr , San Diego CA 92128-3491. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as his primary health care specialty. Pakulat, Mark can be contacted via phone (760) 633-6035.Contact Information
Primary practice address
15004 Innovation Dr
San Diego CA 92128-3491
Phone: (760) 633-6035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | 36753 | California |
Profile Details
| NPI number | 1861711020 |
|---|---|
| LBN Legal business name | Pakulat, Mark |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2010 |
| Last updated | Apr 30th, 2021 - about 3 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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