Pechacek, Derek
Pechacek, Derek is an sole proprietor health care provider with primary practice located at 320 E Highway 50 , O Fallon IL 62269-2704. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Pechacek, Derek can be contacted via phone (618) 624-3368.Contact Information
Primary practice address
320 E Highway 50
O Fallon IL 62269-2704
Phone: (618) 624-3368
Fax: (618) 624-3387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209-010889 | Illinois |
Profile Details
| NPI number | 1114356607 |
|---|---|
| LBN Legal business name | Pechacek, Derek |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2013 |
| Last updated | Nov 5th, 2013 - about 12 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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