Pecora, David

Pecora, David is an individual health care provider with primary practice located at 425 7Th St Nw , Cass Lake MN 56633-3360. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pecora, David can be contacted via phone (218) 335-3216.

Contact Information

Primary practice address
425 7Th St Nw Cass Lake MN 56633-3360
Phone: (218) 335-3216
Fax: (218) 335-3204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103061 Florida

Profile Details

NPI number 1679637177
LBN Legal business name Pecora, David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679637177 NPPES
Minnesota Other 995N6PE BCBSM
Minnesota MEDICAID 410684900 BCBSM

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