Petruska, Jennifer Marie

Petruska, Jennifer Marie is an individual health care provider with primary practice located at 706 Grape St , Whitehall PA 18052-5207. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Petruska, Jennifer Marie can be contacted via phone (610) 266-7700.

Contact Information

Primary practice address
706 Grape St Whitehall PA 18052-5207
Phone: (610) 266-7700
Fax: (610) 266-9300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00609400 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X OEG001779 Pennsylvania

Profile Details

NPI number 1346345121
LBN Legal business name Petruska, Jennifer Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Oct 28th, 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.

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