Panek, John
Panek, John is an individual health care provider with primary practice located at 6701 Jefferson St Ne , Albuquerque NM 87109-4318. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Panek, John can be contacted via phone (505) 727-6200.Contact Information
Primary practice address
6701 Jefferson St Ne
Albuquerque NM 87109-4318
Phone: (505) 727-6200
Fax: (505) 727-9590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 248 | New Mexico |
Profile Details
| NPI number | 1295795599 |
|---|---|
| LBN Legal business name | Panek, John |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Apr 17th, 2017 - about 8 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 | 1295795599 | NPPES |
| New Mexico | MEDICAID | K2745 |
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