Petkers, Jon

Petkers, Jon is an individual health care provider with primary practice located at 690 Minot Ave Ste 2 , Auburn ME 04210-3922. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Petkers, Jon can be contacted via phone (207) 783-3450.

Contact Information

Primary practice address
690 Minot Ave Ste 2 Auburn ME 04210-3922
Phone: (207) 783-3450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1841369659
LBN Legal business name Petkers, Jon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1841369659 NPPES
Maine Other 2735 LICENSE#

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