Petri, Carl

Petri, Carl is an sole proprietor health care provider with primary practice located at 116 Porter Dr , Middlebury VT 05753-8527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Petri, Carl can be contacted via phone (802) 388-9885.

Contact Information

Primary practice address
116 Porter Dr Middlebury VT 05753-8527
Fax: (802) 388-7120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0420007280 Vermont

Profile Details

NPI number 1508818261
LBN Legal business name Petri, Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Jun 9th, 2008 - about 18 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 1508818261 NPPES
Vermont MEDICAID 0002513

Popular Providers