Petry, Ann M

Petry, Ann M is an sole proprietor health care provider with primary practice located at 11163 Hanover St , Omaha NE 68142-1519. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Petry, Ann M can be contacted via phone (402) 496-6396.

Contact Information

Primary practice address
11163 Hanover St Omaha NE 68142-1519
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1155 Nebraska

Profile Details

NPI number 1265499529
LBN Legal business name Petry, Ann M
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated Feb 19th, 2008 - about 17 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 1265499529 NPPES
Nebraska MEDICAID 10025593900

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