Kroetsch, Peter
Kroetsch, Peter is an sole proprietor health care provider with primary practice located at 800 E Cypress Dr , Pembroke Pines FL 33025-4543. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kroetsch, Peter can be contacted via phone (954) 392-3162.Contact Information
Primary practice address
800 E Cypress Dr
Pembroke Pines FL 33025-4543
Phone: (954) 392-3162
Fax: (561) 790-0286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME83899 | Florida |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME83899 | Florida |
Profile Details
| NPI number | 1851467534 |
|---|---|
| LBN Legal business name | Kroetsch, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jan 7th, 2014 - about 12 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 | 1851467534 | NPPES |
| Florida | MEDICAID | 274740500 | |
| Florida | Other | ME83899 |
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