Petrey Jr., John S

Petrey Jr., John S is an individual health care provider with primary practice located at 700 E Spring St Suite 200, New Albany IN 47150-2926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Petrey Jr., John S can be contacted via phone (812) 945-7536.

Contact Information

Primary practice address
700 E Spring St Suite 200 New Albany IN 47150-2926
Phone: (812) 945-7536
Fax: (812) 945-7542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01043127A Indiana

Profile Details

NPI number 1265590087
LBN Legal business name Petrey Jr., John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 10th, 2014 - about 11 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 1265590087 NPPES
Indiana MEDICAID 100460250A
Indiana Other 61-1091357

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