Petra, Jeffrey Robert
Petra, Jeffrey Robert is an sole proprietor health care provider with primary practice located at 1800 Cooper Point Rd Sw Ste 17 , Olympia WA 98502-1179. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Petra, Jeffrey Robert can be contacted via phone (360) 754-4662.Contact Information
Primary practice address
1800 Cooper Point Rd Sw Ste 17
Olympia WA 98502-1179
Phone: (360) 754-4662
Fax: (360) 352-3289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1487739603 |
|---|---|
| LBN Legal business name | Petra, Jeffrey Robert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 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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