Petkova, Jenny H
Petkova, Jenny H is an individual health care provider with primary practice located at 6550 Fannin St Ste 1000 , Houston TX 77030-2717. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Petkova, Jenny H can be contacted via phone (713) 865-1410.Contact Information
Primary practice address
6550 Fannin St Ste 1000
Houston TX 77030-2717
Phone: (713) 865-1410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48256 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | C10010924 | Delaware |
Profile Details
| NPI number | 1447202122 |
|---|---|
| LBN Legal business name | Petkova, Jenny H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jan 31st, 2022 - about 3 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 | 1447202122 | NPPES |
| Wisconsin | MEDICAID | 34659600 | |
| Wisconsin | Other | 008806261J |
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