Petracek, Michael

Petracek, Michael is an individual health care provider with primary practice located at 4230 Harding Rd Ste 450, Nashville TN 37205-6048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Petracek, Michael can be contacted via phone (615) 385-4781.

Contact Information

Primary practice address
4230 Harding Rd Ste 450 Nashville TN 37205-6048
Phone: (615) 385-4781
Fax: (615) 383-4366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD013206 Tennessee

Profile Details

NPI number 1972505105
LBN Legal business name Petracek, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 4th, 2012 - about 12 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 1972505105 NPPES
Tennessee Other 3945508008 CIGNA HMO
Tennessee Other 3740031 CIGNA HMO
Tennessee Other 2000298 CIGNA HMO
Tennessee Other 4066885 CIGNA HMO
Tennessee Other 0995598 CIGNA HMO
Tennessee MEDICAID 3009775 CIGNA HMO
Tennessee Other 3945508007 CIGNA HMO

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