Petz, Darrell W.

Petz, Darrell W. is an individual health care provider with primary practice located at 1621 Union Ave , Natrona Heights PA 15065-2144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Petz, Darrell W. can be contacted via phone (724) 224-6700.

Contact Information

Primary practice address
1621 Union Ave Natrona Heights PA 15065-2144
Fax: (724) 224-8005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS004500L Pennsylvania

Profile Details

NPI number 1053392225
LBN Legal business name Petz, Darrell W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 6th, 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 1053392225 NPPES
Pennsylvania MEDICAID 0010307840009

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