Pantazis, Karen Louise
Pantazis, Karen Louise is an sole proprietor health care provider with primary practice located at 817 Court St Suite 14, Jackson CA 95642-2156. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Pantazis, Karen Louise can be contacted via phone (209) 357-0503.Contact Information
Primary practice address
817 Court St Suite 14
Jackson CA 95642-2156
Phone: (209) 357-0503
Fax: (209) 257-1392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C42898 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | C42898 | California |
Profile Details
| NPI number | 1770661423 |
|---|---|
| LBN Legal business name | Pantazis, Karen Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jan 15th, 2013 - about 11 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 | 1770661423 | NPPES |
| California | MEDICAID | 00C428980 |
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