Petzing, Christine
Petzing, Christine is an individual health care provider with primary practice located at 3375 N Seminary St , Galesburg IL 61401-1251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Petzing, Christine can be contacted via phone (309) 343-5114.Contact Information
Primary practice address
3375 N Seminary St
Galesburg IL 61401-1251
Phone: (309) 343-5114
Fax: (309) 343-7859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-105731 | Illinois |
Profile Details
| NPI number | 1346348265 |
|---|---|
| LBN Legal business name | Petzing, Christine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Dec 6th, 2010 - about 14 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 | 1346348265 | NPPES |
| Illinois | MEDICAID | 036105731 |
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