Pelz, Kathleen Marie
Pelz, Kathleen Marie is an individual health care provider with primary practice located at 4479 Stoneridge Dr Ste A , Pleasanton CA 94588-8447. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as her primary health care specialty. Pelz, Kathleen Marie can be contacted via phone (925) 484-6400.Contact Information
Primary practice address
4479 Stoneridge Dr Ste A
Pleasanton CA 94588-8447
Phone: (925) 484-6400
Fax: (925) 484-6497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X |
Profile Details
| NPI number | 1174712988 |
|---|---|
| LBN Legal business name | Pelz, Kathleen Marie |
| Credentials | Certified Orthotist (CO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Oct 17th, 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 | 1174712988 | NPPES |
| California | MEDICAID | XA0025960 |
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