Petro, Robert Nicolas

Petro, Robert Nicolas is an sole proprietor health care provider with primary practice located at 730 W Hampden Ave Ste 200 , Englewood CO 80110-2129. He recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Petro, Robert Nicolas can be contacted via phone (720) 974-7464.

Contact Information

Primary practice address
730 W Hampden Ave Ste 200 Englewood CO 80110-2129
Fax: (303) 953-7274
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X DR.0058113 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X DR.0058113 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0058113 Colorado

Profile Details

NPI number 1215349642
LBN Legal business name Petro, Robert Nicolas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2014
Last updated Oct 5th, 2021 - about 4 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 1215349642 NPPES
Colorado MEDICAID 9000173212

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