Petrack, Cynthia J
Petrack, Cynthia J is an individual health care provider with primary practice located at 16001 W 9 Mile Rd , Southfield MI 48075-4818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Petrack, Cynthia J can be contacted via phone (248) 849-8025.Contact Information
Primary practice address
16001 W 9 Mile Rd
Southfield MI 48075-4818
Phone: (248) 849-8025
Fax: (248) 849-8256
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4704130122 | Michigan |
Profile Details
NPI number | 1427157171 |
---|---|
LBN Legal business name | Petrack, Cynthia J |
Credentials | APRN-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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