Pekarek, Brian Thomas

Pekarek, Brian Thomas is an individual health care provider with primary practice located at 47 Penny Ln Ste 1 , Watsonville CA 95076-6055. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Pekarek, Brian Thomas can be contacted via phone (831) 728-8844.

Contact Information

Primary practice address
47 Penny Ln Ste 1 Watsonville CA 95076-6055
Phone: (831) 728-8844
Fax: (831) 763-1001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 278 Alabama
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 278 Alabama
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36 003501 Ohio
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E5177 California

Profile Details

NPI number 1538108675
LBN Legal business name Pekarek, Brian Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Aug 31st, 2016 - about 10 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 1538108675 NPPES
Ohio Other 1563848 MEDICAID GROUP
Ohio MEDICAID 051556220 MEDICAID GROUP
Ohio Other CH5179 MEDICAID GROUP

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