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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912916818 | NPPES |
Kansas | Other | 067031 | MEDICARE PTAN |
Kansas | MEDICAID | 100178240A | MEDICARE PTAN |
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