Perdzock, David A
Perdzock, David A is an individual health care provider with primary practice located at 500 S Cleveland Ave , Westerville OH 43081-8971. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Perdzock, David A can be contacted via phone (614) 898-6659.Contact Information
Primary practice address
500 S Cleveland Ave
Westerville OH 43081-8971
Phone: (614) 898-6659
Fax: (614) 898-8631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 35038578 | Ohio |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35038578 | Ohio |
Profile Details
| NPI number | 1114926391 |
|---|---|
| LBN Legal business name | Perdzock, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 13th, 2014 - about 12 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 | 1114926391 | NPPES |
| Ohio | MEDICAID | 0634228 |
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