Perez, Omar M

Perez, Omar M is an sole proprietor health care provider with primary practice located at 9445 Calumet Ave , Munster IN 46321-2811. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Perez, Omar M can be contacted via phone (219) 836-1060.

Contact Information

Primary practice address
9445 Calumet Ave Munster IN 46321-2811
Fax: (219) 836-1014
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 01077396A Indiana

Profile Details

NPI number 1538398946
LBN Legal business name Perez, Omar M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2009
Last updated Jun 9th, 2021 - about 4 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 1538398946 NPPES
Indiana Other 1538398946 NPI

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