Kohlman-Petrick, Joellen
Kohlman-Petrick, Joellen is an individual health care provider with primary practice located at 712 S Cascade St , Fergus Falls MN 56537-2913. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kohlman-Petrick, Joellen can be contacted via phone (218) 736-8000.Contact Information
Primary practice address
712 S Cascade St
Fergus Falls MN 56537-2913
Phone: (218) 736-8000
Fax: (218) 739-6718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48295 | Minnesota |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 12070 | North Dakota |
Profile Details
| NPI number | 1114985454 |
|---|---|
| LBN Legal business name | Kohlman-Petrick, Joellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Feb 17th, 2017 - about 7 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 | 1114985454 | NPPES |
| North Dakota | MEDICAID | 16483 |
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