Pucelik, Patrick J

Pucelik, Patrick J is an individual health care provider with primary practice located at 153 Blair St , Whiting IA 51063-1007. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Pucelik, Patrick J can be contacted via phone (712) 455-2431.

Contact Information

Primary practice address
153 Blair St Whiting IA 51063-1007
Phone: (712) 455-2431
Fax: (712) 455-2698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A-106028 Iowa
Allopathic & Osteopathic Physicians / General Practice 208D00000X A-106028 Iowa

Profile Details

NPI number 1649247362
LBN Legal business name Pucelik, Patrick J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated May 21st, 2008 - about 18 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 1649247362 NPPES
Other 500018631 RAILROAD MEDICARE

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