Pezanoski, Jonathan P
Pezanoski, Jonathan P is an individual health care provider with primary practice located at 10619 Professional Cir , Reno NV 89521-5831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pezanoski, Jonathan P can be contacted via phone (775) 852-4848.Contact Information
Primary practice address
10619 Professional Cir
Reno NV 89521-5831
Phone: (775) 852-4848
Fax: (775) 850-5763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 12280 | Nevada |
Profile Details
| NPI number | 1053355545 |
|---|---|
| LBN Legal business name | Pezanoski, Jonathan P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Oct 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053355545 | NPPES |
| Nevada | Other | VWCGZB | GROUP MEDICARE PIN |
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