Petras, William D

Petras, William D is an individual health care provider with primary practice located at 72780 Country Club Dr Suite 203, Rancho Mirage CA 92270-4126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Petras, William D can be contacted via phone (760) 674-3847.

Contact Information

Primary practice address
72780 Country Club Dr Suite 203 Rancho Mirage CA 92270-4126
Phone: (760) 674-3847
Fax: (760) 674-3845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A8158 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A8158 California

Profile Details

NPI number 1396758306
LBN Legal business name Petras, William D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Feb 29th, 2016 - about 8 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 1396758306 NPPES
California MEDICAID 00AX81580

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