Petrich, Ivan D

Petrich, Ivan D is an individual health care provider with primary practice located at 221 3Rd Street West , Jbsa-Randolph TX 78150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Petrich, Ivan D can be contacted via phone (210) 652-6550.

Contact Information

Primary practice address
221 3Rd Street West Jbsa-Randolph TX 78150
Phone: (210) 652-6550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 2019-01392 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2019-01392 North Carolina

Profile Details

NPI number 1639527096
LBN Legal business name Petrich, Ivan D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2016
Last updated Jul 21st, 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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