Uzelac, Peter S

Uzelac, Peter S is an individual health care provider with primary practice located at 1100 S Eliseo Dr Ste 107 Attn: Jaimie Vigil, Greenbrae CA 94904-2017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Uzelac, Peter S can be contacted via phone (415) 925-9404.

Contact Information

Primary practice address
1100 S Eliseo Dr Ste 107 Attn: Jaimie Vigil Greenbrae CA 94904-2017
Phone: (415) 925-9404
Fax: (415) 484-7045
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X A72448 California

Profile Details

NPI number 1356345789
LBN Legal business name Uzelac, Peter S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 5th, 2014 - about 10 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 1356345789 NPPES
Kentucky Other 50011330 PASSPORT SPECIALITY PSC
Kentucky Other 50011331 PASSPORT SPECIALITY PSC
Kentucky Other 50011332 PASSPORT SPECIALITY PSC
Kentucky MEDICAID 200878600 PASSPORT SPECIALITY PSC
Kentucky MEDICAID 64120736 PASSPORT SPECIALITY PSC
Kentucky Other 000000480316 PASSPORT SPECIALITY PSC

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