Vonkulajta, Petra C

Vonkulajta, Petra C is an individual health care provider with primary practice located at 929 Business Park Dr , Traverse City MI 49686-8683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Vonkulajta, Petra C can be contacted via phone (231) 947-6246.

Contact Information

Primary practice address
929 Business Park Dr Traverse City MI 49686-8683
Phone: (231) 947-6246
Fax: (231) 947-8864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301065498 Michigan

Profile Details

NPI number 1811981152
LBN Legal business name Vonkulajta, Petra C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jul 15th, 2009 - about 15 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 1811981152 NPPES
Michigan MEDICAID 4214560
Michigan MEDICAID 4618285

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