Pomazal, Eric Keoni
Pomazal, Eric Keoni is an individual health care provider with primary practice located at 1259 Rickert Dr Ste 101 , Naperville IL 60540-8904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pomazal, Eric Keoni can be contacted via phone (630) 790-1872.Contact Information
Primary practice address
1259 Rickert Dr Ste 101
Naperville IL 60540-8904
Phone: (630) 790-1872
Fax: (630) 355-2515
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 085001151 | Illinois |
Profile Details
NPI number | 1649442096 |
---|---|
LBN Legal business name | Pomazal, Eric Keoni |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2008 |
Last updated | Jul 25th, 2023 - about 2 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 | 1649442096 | NPPES |
Other | 131024700 | DEPT OF LABOR OWCP | |
Other | 01615954 | DEPT OF LABOR OWCP |
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