Petelos, John Nick
Petelos, John Nick is an individual health care provider with primary practice located at 5295 Preserve Parkway Suite 100, Hoover AL 35244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Petelos, John Nick can be contacted via phone (205) 987-4444.Contact Information
Primary practice address
5295 Preserve Parkway Suite 100
Hoover AL 35244
Phone: (205) 987-4444
Fax: (205) 987-4451
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 11468 | Alabama |
Profile Details
NPI number | 1255350963 |
---|---|
LBN Legal business name | Petelos, John Nick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2006 |
Last updated | Jan 4th, 2016 - about 8 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 | 1255350963 | NPPES |
Alabama | MEDICAID | 000026579 | |
Alabama | Other | 51510837 | |
Alabama | MEDICAID | 009911025 | |
Alabama | Other | 51026579 |
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