Komozec, Pero

Komozec, Pero is an individual health care provider with primary practice located at 2745 W Layton Avenue Suite 206, Milwaukee WI 53221-2651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Komozec, Pero can be contacted via phone (414) 389-3086.

Contact Information

Primary practice address
2745 W Layton Avenue Suite 206 Milwaukee WI 53221-2651
Fax: (414) 755-8256
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33082 Wisconsin

Profile Details

NPI number 1306839006
LBN Legal business name Komozec, Pero
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Nov 12th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306839006 NPPES
Wisconsin MEDICAID 32016800

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