Petrenko, Peter
Petrenko, Peter is an individual health care provider with primary practice located at 1 S Creek Dr , Monticello KY 42633-9472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Petrenko, Peter can be contacted via phone (606) 348-3365.Contact Information
Primary practice address
1 S Creek Dr
Monticello KY 42633-9472
Phone: (606) 348-3365
Fax: (606) 348-8496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34553 | Kentucky |
Profile Details
| NPI number | 1770574147 |
|---|---|
| LBN Legal business name | Petrenko, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 21st, 2010 - about 16 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 | 1770574147 | NPPES |
| Kentucky | MEDICAID | 64018799 |
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