Petrie, Joseph W
Petrie, Joseph W is an individual health care provider with primary practice located at 431 E. Main St. #994, Challis ID 83226. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Petrie, Joseph W can be contacted via phone (208) 833-3773.Contact Information
Primary practice address
431 E. Main St. #994
Challis ID 83226
Phone: (208) 833-3773
Fax: (833) 839-1175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-1129 | Idaho |
Profile Details
| NPI number | 1851721401 |
|---|---|
| LBN Legal business name | Petrie, Joseph W |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2013 |
| Last updated | Feb 2nd, 2022 - about 3 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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