Pakula, David C
Pakula, David C is an sole proprietor health care provider with primary practice located at 222 Southway Suite B, Lewiston ID 83501-2703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pakula, David C can be contacted via phone (208) 746-3500.Contact Information
Primary practice address
222 Southway Suite B
Lewiston ID 83501-2703
Phone: (208) 746-3500
Fax: (208) 746-6423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | M4761 | Idaho |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 14070 | Washington |
Profile Details
| NPI number | 1609842723 |
|---|---|
| LBN Legal business name | Pakula, David C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1609842723 | NPPES |
| Washington | MEDICAID | 1016252 |
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