Petrus, Carmen M
Petrus, Carmen M is an individual health care provider with primary practice located at 1211 W La Palma Ave Ste 502, Anaheim CA 92801-2815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Petrus, Carmen M can be contacted via phone (714) 776-7090.Contact Information
Primary practice address
1211 W La Palma Ave Ste 502
Anaheim CA 92801-2815
Phone: (714) 776-7090
Fax: (714) 776-5632
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA14772 | California |
Profile Details
NPI number | 1467458455 |
---|---|
LBN Legal business name | Petrus, Carmen M |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2005 |
Last updated | Apr 21st, 2011 - 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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