Petrino, Robert A

Petrino, Robert A is an individual health care provider with primary practice located at 706 A Quandt Ave , Springdale AR 72764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Petrino, Robert A can be contacted via phone (479) 757-2030.

Contact Information

Primary practice address
706 A Quandt Ave Springdale AR 72764
Phone: (479) 757-2030
Fax: (479) 750-6236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C5439 Arkansas

Profile Details

NPI number 1861402265
LBN Legal business name Petrino, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Apr 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861402265 NPPES
Arkansas MEDICAID 106437001

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