Pekalla, Jasen M

Pekalla, Jasen M is an sole proprietor health care provider with primary practice located at 5500 Market St Ste 119 , Boardman OH 44512-2616. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Pekalla, Jasen M can be contacted via phone (330) 991-9117.

Contact Information

Primary practice address
5500 Market St Ste 119 Boardman OH 44512-2616
Phone: (330) 991-9117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 22-222770 Ohio

Profile Details

NPI number 1093449928
LBN Legal business name Pekalla, Jasen M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2022
Last updated Jul 15th, 2022 - 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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