Petrik, Edwin L

Petrik, Edwin L is an individual health care provider with primary practice located at 1414 Sw 8Th Ave , Topeka KS 66606-1535. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Petrik, Edwin L can be contacted via phone (785) 354-5300.

Contact Information

Primary practice address
1414 Sw 8Th Ave Topeka KS 66606-1535
Phone: (785) 354-5300
Fax: (785) 354-5309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 04-13299 Kansas
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 04-13299 Kansas

Profile Details

NPI number 1912916818
LBN Legal business name Petrik, Edwin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jun 9th, 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 1912916818 NPPES
Kansas Other 067031 MEDICARE PTAN
Kansas MEDICAID 100178240A MEDICARE PTAN

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