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
Phone: (414) 389-3086
Fax: (414) 755-8256
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306839006 | NPPES |
| Wisconsin | MEDICAID | 32016800 |
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