Petras, Keith Michael

Petras, Keith Michael is an individual health care provider with primary practice located at 7225 Old Oak Blvd Ste B313, Middleburg Heights OH 44130-3339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Petras, Keith Michael can be contacted via phone (440) 243-0574.

Contact Information

Primary practice address
7225 Old Oak Blvd Ste B313 Middleburg Heights OH 44130-3339
Phone: (440) 243-0574
Fax: (440) 243-0582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35-080986P Ohio

Profile Details

NPI number 1215997770
LBN Legal business name Petras, Keith Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Feb 16th, 2015 - about 11 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 1215997770 NPPES
Ohio MEDICAID 2579642

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