Perez, Pompilio
Perez, Pompilio is an individual health care provider with primary practice located at 236 Simpson Ave , Elkhart IN 46516-4666. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Perez, Pompilio can be contacted via phone (574) 293-0052.Contact Information
Primary practice address
236 Simpson Ave
Elkhart IN 46516-4666
Phone: (574) 293-0052
Fax: (574) 293-3744
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71010176A | Indiana |
Profile Details
NPI number | 1558497909 |
---|---|
LBN Legal business name | Perez, Pompilio |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2007 |
Last updated | Jan 16th, 2024 - about 10 months 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 | 1558497909 | NPPES |
Indiana | MEDICAID | 300040491 |
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