Petrovich, Anna Alekseevna

Petrovich, Anna Alekseevna is an individual health care provider with primary practice located at 6555 Coyle Ave , Carmichael CA 95608-0302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Petrovich, Anna Alekseevna can be contacted via phone (916) 536-2500.

Contact Information

Primary practice address
6555 Coyle Ave Carmichael CA 95608-0302
Phone: (916) 536-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A8324 California

Profile Details

NPI number 1245331537
LBN Legal business name Petrovich, Anna Alekseevna
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Feb 13th, 2012 - about 13 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 1245331537 NPPES
California MEDICAID 00AX83240
California Other 1806844
California Other 000810608129
California Other MCMG343900
California Other 106126
California Other 2238002
California Other 236152
California Other 7403659
California Other 20A8324
California Other 90141470
California Other 4441911
California Other 5635513

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