Petrak-Ron, Betty A.

Petrak-Ron, Betty A. is an sole proprietor health care provider with primary practice located at 400 S Mccaslin Blvd Suite 211, Louisville CO 80027-9731. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Other Service Providers / Specialist is her primary health care specialty. Petrak-Ron, Betty A. can be contacted via phone (720) 890-9904.

Contact Information

Primary practice address
400 S Mccaslin Blvd Suite 211 Louisville CO 80027-9731
Phone: (720) 890-9904
Fax: (720) 890-1440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X DR0038190 Colorado
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X DR0038190 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR0038190 Colorado

Profile Details

NPI number 1750329744
LBN Legal business name Petrak-Ron, Betty A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Aug 29th, 2019 - about 6 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 1750329744 NPPES
Colorado MEDICAID 23309334

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