Petein, Marc A

Petein, Marc A is an individual health care provider with primary practice located at 13634 N 93Rd Ave Suite 300, Peoria AZ 85381-4915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Petein, Marc A can be contacted via phone (623) 815-2484.

Contact Information

Primary practice address
13634 N 93Rd Ave Suite 300 Peoria AZ 85381-4915
Phone: (623) 815-2484
Fax: (623) 815-2483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 15534 Arizona
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 15534 Arizona

Profile Details

NPI number 1134121825
LBN Legal business name Petein, Marc A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 10th, 2014 - about 10 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 1134121825 NPPES
Arizona MEDICAID 260464

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