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
Fax: (630) 355-2515
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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 1649442096 NPPES
Other 131024700 DEPT OF LABOR OWCP
Other 01615954 DEPT OF LABOR OWCP

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