Petilon, Julio
Petilon, Julio is an sole proprietor health care provider with primary practice located at 2801 N Decatur Rd Ste 200 , Decatur GA 30033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Petilon, Julio can be contacted via phone (404) 296-5005.Contact Information
Primary practice address
2801 N Decatur Rd Ste 200
Decatur GA 30033
Phone: (404) 296-5005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101232250 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 43365 | Kentucky |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 73625 | Georgia |
Profile Details
| NPI number | 1245205020 |
|---|---|
| LBN Legal business name | Petilon, Julio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Nov 19th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245205020 | NPPES |
| Kentucky | MEDICAID | 7100128410 | |
| Kentucky | MEDICAID | 200995080 |
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