Pakiela, John A

Pakiela, John A is an individual health care provider with primary practice located at 2400 N Rockton Ave , Rockford IL 61103-3655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Pakiela, John A can be contacted via phone (815) 971-5000.

Contact Information

Primary practice address
2400 N Rockton Ave Rockford IL 61103-3655
Phone: (815) 971-5000
Fax: (815) 968-9340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34-00-7227-P Ohio
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036-138517 Illinois
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 64315-21 Wisconsin

Profile Details

NPI number 1265402036
LBN Legal business name Pakiela, John A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 2nd, 2015 - about 11 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 1265402036 NPPES
Ohio Other 5619197341B83 BLUECROSS BLUESHIELD
Ohio MEDICAID 2256642 BLUECROSS BLUESHIELD

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