Petkac, John S.
Petkac, John S. is an sole proprietor health care provider with primary practice located at 4021 W 12Th St , Erie PA 16505-3354. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Petkac, John S. can be contacted via phone (814) 882-3861.Contact Information
Primary practice address
4021 W 12Th St
Erie PA 16505-3354
Phone: (814) 882-3861
Fax: (814) 833-7944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC002741 | Pennsylvania |
Profile Details
| NPI number | 1265432843 |
|---|---|
| LBN Legal business name | Petkac, John S. |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Nov 7th, 2007 - about 18 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.
Popular Providers
-
Motily, David Michael
3939 W Ridge Rd Suite B-44, Erie PA 16506-1879 -
Kern, Thomas Michael
2525 W 26Th St Suite 100, Erie PA 16506-3254 -
French, Sara Elizabeth
208 E Bayfront Pkwy Suite 200C , Erie PA 16507-2413 -
Day, Maria G
3800 West 12 Street Ste 5, Erie PA 16505-3380 -
Pae, Kathleen B.
3800 West 12Th Street Ste 5, Erie PA 16505-3380 -
Day, Robert J
503 Parade Street, Unit B Unit B, Erie PA 16507 -
Sulkowski, Melissa Marie
1741 W 26Th St , Erie PA 16508-1256 -
Radomski, Rose Marie
329 W 10Th St , Erie PA 16502-1440