Petrie, Beverley

Petrie, Beverley is an individual health care provider with primary practice located at 21840 Normandie Ave , Torrance CA 90502-2047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Petrie, Beverley can be contacted via phone (310) 222-5015.

Contact Information

Primary practice address
21840 Normandie Ave Torrance CA 90502-2047
Fax: (310) 222-5027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A55817 California

Profile Details

NPI number 1275544116
LBN Legal business name Petrie, Beverley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Sep 25th, 2013 - 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 1275544116 NPPES
California MEDICAID 00A558170

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