Petroff, Nina
Petroff, Nina is an individual health care provider with primary practice located at 23250 Chagrin Blvd Suite 350, Beachwood OH 44122-5470. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Petroff, Nina can be contacted via phone (216) 765-7474.Contact Information
Primary practice address
23250 Chagrin Blvd Suite 350
Beachwood OH 44122-5470
Phone: (216) 765-7474
Fax: (216) 765-7484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 35051014P | Ohio |
Profile Details
| NPI number | 1396836086 |
|---|---|
| LBN Legal business name | Petroff, Nina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Nov 8th, 2012 - about 12 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 | 1396836086 | NPPES |
| Ohio | MEDICAID | 0866684 |
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