Pettorino, Roselle Catherine
Pettorino, Roselle Catherine is an sole proprietor health care provider with primary practice located at 864 Central Blvd Ste 300 , Brownsville TX 78520-7539. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Other Service Providers / Specialist is her primary health care specialty. Pettorino, Roselle Catherine can be contacted via phone (956) 541-6311.Contact Information
Primary practice address
864 Central Blvd Ste 300
Brownsville TX 78520-7539
Phone: (956) 541-6311
Fax: (956) 541-6387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | K8420 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | K8420 | Texas |
Profile Details
| NPI number | 1336116714 |
|---|---|
| LBN Legal business name | Pettorino, Roselle Catherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Jul 22nd, 2016 - about 8 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 | 1336116714 | NPPES |
| Texas | Other | 0048DN | BCBS |
| Texas | MEDICAID | 029740001 | BCBS |
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