Petro, John Vernon
Petro, John Vernon is an individual health care provider with primary practice located at 102 E Hospital Dr , Hattiesburg MS 39402-1310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Petro, John Vernon can be contacted via phone (601) 268-5144.Contact Information
Primary practice address
102 E Hospital Dr
Hattiesburg MS 39402-1310
Phone: (601) 268-5144
Fax: (601) 268-5149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 09169 | Mississippi |
Profile Details
| NPI number | 1124020169 |
|---|---|
| LBN Legal business name | Petro, John Vernon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1124020169 | NPPES |
| Mississippi | MEDICAID | 0115554 |
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