Steven Peretiatko Md A Medical Corporation
LBN: Steven Peretiatko Md A Medical Corporation
Steven Peretiatko Md A Medical Corporation is an health care organization with primary practice located at 1303 Mable Ave , Modesto CA 95355-1119. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty.
Steven Peretiatko Md A Medical Corporation can be contacted via phone (209) 857-3400, or through Peretiatko, Steven via phone (941) 236-0461.
Contact Information
Primary practice address
1303 Mable Ave
Modesto CA 95355-1119
Phone: (209) 857-3400
Fax: (818) 671-2225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X |
Profile Details
| NPI number | 1518727387 |
|---|---|
| LBN Legal business name | Steven Peretiatko Md A Medical Corporation |
| DBA Doing business as | |
| Authorized official | Peretiatko, Steven Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2024 |
| Last updated | Apr 29th, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518727387 | NPPES |
| California | Other | A190660 | MEDICAL LICENSE |
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