Perdzock, David A

Perdzock, David A is an individual health care provider with primary practice located at 500 S Cleveland Ave , Westerville OH 43081-8971. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Perdzock, David A can be contacted via phone (614) 898-6659.

Contact Information

Primary practice address
500 S Cleveland Ave Westerville OH 43081-8971
Fax: (614) 898-8631
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 35038578 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35038578 Ohio

Profile Details

NPI number 1114926391
LBN Legal business name Perdzock, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Oct 13th, 2014 - about 10 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 1114926391 NPPES
Ohio MEDICAID 0634228

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