Palecki, Richard Gerard

Palecki, Richard Gerard is an individual health care provider with primary practice located at 230 Roberts Dr Suite G, New Roads LA 70760-2661. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Palecki, Richard Gerard can be contacted via phone (225) 638-6640.

Contact Information

Primary practice address
230 Roberts Dr Suite G New Roads LA 70760-2661
Fax: (225) 618-0863
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PD165R Louisiana

Profile Details

NPI number 1639268196
LBN Legal business name Palecki, Richard Gerard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 22nd, 2011 - about 13 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 1639268196 NPPES
Louisiana MEDICAID 1668842
Louisiana Other 480026913

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