Perez, Pompilio

Perez, Pompilio is an individual health care provider with primary practice located at 236 Simpson Ave , Elkhart IN 46516-4666. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Perez, Pompilio can be contacted via phone (574) 293-0052.

Contact Information

Primary practice address
236 Simpson Ave Elkhart IN 46516-4666
Phone: (574) 293-0052
Fax: (574) 293-3744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71010176A Indiana

Profile Details

NPI number 1558497909
LBN Legal business name Perez, Pompilio
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jan 16th, 2024 - about 2 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 1558497909 NPPES
Indiana MEDICAID 300040491

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