Petro, Anthony Bedear
Petro, Anthony Bedear is an individual health care provider with primary practice located at 501 Marshall St Suite 500, Jackson MS 39202-1651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Petro, Anthony Bedear can be contacted via phone (601) 948-1411.Contact Information
Primary practice address
501 Marshall St Suite 500
Jackson MS 39202-1651
Phone: (601) 948-1411
Fax: (601) 948-0090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 05828 | Mississippi |
Profile Details
| NPI number | 1487769154 |
|---|---|
| LBN Legal business name | Petro, Anthony Bedear |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Nov 4th, 2009 - about 16 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 | 1487769154 | NPPES |
| Mississippi | MEDICAID | 000017867 |
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