Petko, James Michael

Petko, James Michael is an sole proprietor health care provider with primary practice located at 6716 Arlington Blvd , Falls Church VA 22042-2105. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Petko, James Michael can be contacted via phone (703) 533-1900.

Contact Information

Primary practice address
6716 Arlington Blvd Falls Church VA 22042-2105
Phone: (703) 533-1900
Fax: (703) 532-3332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103000682 Virginia

Profile Details

NPI number 1740339092
LBN Legal business name Petko, James Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jan 28th, 2008 - 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 1740339092 NPPES
Virginia Other 480005209 RAILROAD MEDICARE NUMBER

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