Petrosky, Michael E
Petrosky, Michael E is an individual health care provider with primary practice located at 12311 Perry Hwy Ste D , Wexford PA 15090-8344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Petrosky, Michael E can be contacted via phone (878) 332-4920.Contact Information
Primary practice address
12311 Perry Hwy Ste D
Wexford PA 15090-8344
Phone: (878) 332-4920
Fax: (878) 332-4921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD444140 | Pennsylvania |
Profile Details
| NPI number | 1649400524 |
|---|---|
| LBN Legal business name | Petrosky, Michael E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2009 |
| Last updated | Oct 1st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649400524 | NPPES |
| Pennsylvania | MEDICAID | 102985804 |
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