Petery, John Andrew

Petery, John Andrew is an individual health care provider with primary practice located at 5921 W Friendly Ave Ste D , Greensboro NC 27410-3268. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Petery, John Andrew can be contacted via phone (336) 218-8490.

Contact Information

Primary practice address
5921 W Friendly Ave Ste D Greensboro NC 27410-3268
Phone: (336) 218-8490
Fax: (336) 299-6533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 409 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 409 North Carolina

Profile Details

NPI number 1811946965
LBN Legal business name Petery, John Andrew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Oct 8th, 2020 - about 4 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 1811946965 NPPES
North Carolina Other U22761 UPIN
North Carolina MEDICAID 690193T UPIN
North Carolina MEDICAID 890801U UPIN
North Carolina Other 10387801 UPIN

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