Dr. Jeffrey Robert Pentek
Sports Medicine Foot & Ankle Surgery
1344 Wintergreen Ln Ne
Bainbridge Island
, Washington 98110
Dr. Jeffrey Robert Pentek
Sports Medicine Foot & Ankle Surgery
1344 Wintergreen Ln Ne
Bainbridge Island
, Washington 98110
(206) 842-5992
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About
Features
Specialties
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Robert Pentek
- 1344 Wintergreen Ln Ne
- Bainbridge Island, WA
- Zip : 98110-5118
- Fax : (206) 842-5992
- Phone : (206) 842-5632
Second Address
- Dr. Jeffrey Robert Pentek
- 1344 Wintergreen Ln Ne
- Bainbridge Island, WA
- Zip : 98110
- Fax : (206) 842-5992
- Phone : (206) 842-5632
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | PO60560146 | WA |
| Y | 213ES0000X | Sports Medicine | PO60560146 | WA |
| N | 213ES0103X | Foot & Ankle Surgery | 5901002464 | MI |
National Provider Identifier
| NPI | 1124383583 |
|---|---|
| Provider Name | Dr. Jeffrey Robert Pentek |
| First Address | Bainbridge Island, WA 98110-5118 |
| Second Address | Bainbridge Island, WA 98110 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2012 |
| Last Update Date | 18/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.