Petrizzi, Mark G
Petrizzi, Mark G is an individual health care provider with primary practice located at 3400 Haydenpark Ln Ste 300 , Henrico VA 23233-7867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Petrizzi, Mark G can be contacted via phone (804) 998-1600.Contact Information
Primary practice address
3400 Haydenpark Ln Ste 300
Henrico VA 23233-7867
Phone: (804) 998-1600
Fax: (804) 998-1601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101046079 | Virginia |
Profile Details
| NPI number | 1336152511 |
|---|---|
| LBN Legal business name | Petrizzi, Mark G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Feb 25th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336152511 | NPPES |
| Virginia | MEDICAID | 005651026 |
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