Petcoff, Matthew

Petcoff, Matthew is an individual health care provider with primary practice located at 1717 W Cowles St , Fairbanks AK 99701-5926. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as his primary health care specialty. Petcoff, Matthew can be contacted via phone (907) 451-6682.

Contact Information

Primary practice address
1717 W Cowles St Fairbanks AK 99701-5926
Phone: (907) 451-6682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1114557279
LBN Legal business name Petcoff, Matthew
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2020
Last updated Jan 16th, 2020 - about 5 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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