Redko, Peter

Redko, Peter is an individual health care provider with primary practice located at 1400 Professional Drive Suite 102, Petaluma CA 94954-5110. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Redko, Peter can be contacted via phone (707) 769-8481.

Contact Information

Primary practice address
1400 Professional Drive Suite 102 Petaluma CA 94954-5110
Phone: (707) 769-8481
Fax: (707) 769-0751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4517 California

Profile Details

NPI number 1750456687
LBN Legal business name Redko, Peter
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Nov 24th, 2009 - about 16 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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