Perkerewicz, Jedidiah James

Perkerewicz, Jedidiah James is an individual health care provider with primary practice located at 1245 Washington Ave , Detroit Lakes MN 56501-3905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Perkerewicz, Jedidiah James can be contacted via phone (218) 846-2000.

Contact Information

Primary practice address
1245 Washington Ave Detroit Lakes MN 56501-3905
Phone: (218) 846-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 11956 North Dakota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 54222 Minnesota

Profile Details

NPI number 1548469208
LBN Legal business name Perkerewicz, Jedidiah James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Apr 29th, 2022 - about 4 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 1548469208 NPPES
North Dakota MEDICAID 16234

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