Peklo, Justin John

Peklo, Justin John is an sole proprietor health care provider with primary practice located at 21777 21 Mile Rd , Macomb MI 48044-2962. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Peklo, Justin John can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
21777 21 Mile Rd Macomb MI 48044-2962
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704307050 Michigan

Profile Details

NPI number 1750876181
LBN Legal business name Peklo, Justin John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2018
Last updated Aug 3rd, 2020 - about 6 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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