Petrescue, Scott W

Petrescue, Scott W is an individual health care provider with primary practice located at 1720 Highway 59 S , Thief River Falls MN 56701-4331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Petrescue, Scott W can be contacted via phone (218) 684-4747.

Contact Information

Primary practice address
1720 Highway 59 S Thief River Falls MN 56701-4331
Phone: (218) 684-4747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41217 Minnesota

Profile Details

NPI number 1043302474
LBN Legal business name Petrescue, Scott W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Nov 18th, 2011 - about 14 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 1043302474 NPPES
North Dakota MEDICAID 10928
North Dakota MEDICAID 945324500

Popular Providers