Petelos, John Nick

Petelos, John Nick is an individual health care provider with primary practice located at 5295 Preserve Parkway Suite 100, Hoover AL 35244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Petelos, John Nick can be contacted via phone (205) 987-4444.

Contact Information

Primary practice address
5295 Preserve Parkway Suite 100 Hoover AL 35244
Phone: (205) 987-4444
Fax: (205) 987-4451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11468 Alabama

Profile Details

NPI number 1255350963
LBN Legal business name Petelos, John Nick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 4th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255350963 NPPES
Alabama MEDICAID 000026579
Alabama Other 51510837
Alabama MEDICAID 009911025
Alabama Other 51026579

Popular Providers