Petrsoric, Joseph Ivan
Petrsoric, Joseph Ivan is an individual health care provider with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Petrsoric, Joseph Ivan can be contacted via phone (201) 837-0727.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 25MA10288800 | New Jersey |
Profile Details
NPI number | 1881937613 |
---|---|
LBN Legal business name | Petrsoric, Joseph Ivan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2013 |
Last updated | Sep 9th, 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 | 1881937613 | NPPES |
New Jersey | MEDICAID | 0628441 |
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