Petricka, Genevieve
Petricka, Genevieve is an sole proprietor health care provider with primary practice located at 110105 Pioneer Trl Suite 201, Chaska MN 55318-2680. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Petricka, Genevieve can be contacted via phone (952) 512-2470.Contact Information
Primary practice address
110105 Pioneer Trl Suite 201
Chaska MN 55318-2680
Phone: (952) 512-2470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2892 | Minnesota |
Profile Details
| NPI number | 1457892945 |
|---|---|
| LBN Legal business name | Petricka, Genevieve |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2017 |
| Last updated | Mar 16th, 2017 - about 9 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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