Petkovsek, Alexander

Petkovsek, Alexander is an individual health care provider with primary practice located at 920 Doug White Dr Ste 210 , Myrtle Beach SC 29572-4181. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Petkovsek, Alexander can be contacted via phone (843) 497-6348.

Contact Information

Primary practice address
920 Doug White Dr Ste 210 Myrtle Beach SC 29572-4181
Phone: (843) 497-6348
Fax: (843) 497-6351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20710 South Carolina

Profile Details

NPI number 1013455302
LBN Legal business name Petkovsek, Alexander
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2017
Last updated Jan 27th, 2022 - about 4 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 1013455302 NPPES
South Carolina MEDICAID 12

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