Petrocy, Pamela Joan

Petrocy, Pamela Joan is an individual health care provider with primary practice located at 163 Van Buren Rd , Caribou ME 04736-3567. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Petrocy, Pamela Joan can be contacted via phone (207) 493-5791.

Contact Information

Primary practice address
163 Van Buren Rd Caribou ME 04736-3567
Phone: (207) 493-5791
Fax: (207) 498-1326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD21228 Maine

Profile Details

NPI number 1366496887
LBN Legal business name Petrocy, Pamela Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jun 29th, 2016 - about 9 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 1366496887 NPPES
Mississippi MEDICAID 08330226
Mississippi MEDICAID 1423777
Mississippi MEDICAID 2574254

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