Petrovich, Alison

Petrovich, Alison is an individual health care provider with primary practice located at 10215 Broadway , Crown Point IN 46307-8001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Petrovich, Alison can be contacted via phone (219) 661-6152.

Contact Information

Primary practice address
10215 Broadway Crown Point IN 46307-8001
Phone: (219) 661-6152
Fax: (219) 703-6833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01054379 Indiana

Profile Details

NPI number 1588669188
LBN Legal business name Petrovich, Alison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated May 28th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588669188 NPPES
Indiana MEDICAID 200345670
Indiana Other 000000721923

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