Petkovic, Barbara Lynn

Petkovic, Barbara Lynn is an individual health care provider with primary practice located at 6200 Pleasant Ave Ste 3, Fairfield OH 45014-4670. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Petkovic, Barbara Lynn can be contacted via phone (513) 829-9333.

Contact Information

Primary practice address
6200 Pleasant Ave Ste 3 Fairfield OH 45014-4670
Phone: (513) 829-9333
Fax: (513) 858-7827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 36003284 Ohio

Profile Details

NPI number 1508829359
LBN Legal business name Petkovic, Barbara Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Apr 27th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508829359 NPPES
Ohio MEDICAID 2323444

Popular Providers