Petro, Clayton Charles

Petro, Clayton Charles is an individual health care provider with primary practice located at 9500 Euclid Ave , Cleveland OH 44195. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Petro, Clayton Charles can be contacted via phone (216) 978-8690.

Contact Information

Primary practice address
9500 Euclid Ave Cleveland OH 44195
Phone: (216) 978-8690
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 062701 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35.121637 Ohio

Profile Details

NPI number 1821387549
LBN Legal business name Petro, Clayton Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2011
Last updated Aug 8th, 2018 - about 7 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 1821387549 NPPES
Ohio MEDICAID 0143211

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