Petivan, Victoria Anne
Petivan, Victoria Anne is an sole proprietor health care provider with primary practice located at 100 Sullivan Way , West Trenton NJ 08628. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Petivan, Victoria Anne can be contacted via phone (609) 633-1502.Contact Information
Primary practice address
100 Sullivan Way
West Trenton NJ 08628
Phone: (609) 633-1502
Fax: (609) 777-0327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MA06516700 | New Jersey |
Profile Details
| NPI number | 1457453383 |
|---|---|
| LBN Legal business name | Petivan, Victoria Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Oct 12th, 2015 - about 9 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 | 1457453383 | NPPES |
| New Jersey | MEDICAID | 7216203 |
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