Petrie, David Earl

Petrie, David Earl is an individual health care provider with primary practice located at 929 N Saint Francis St , Wichita KS 67214-3821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Petrie, David Earl can be contacted via phone (800) 374-5326.

Contact Information

Primary practice address
929 N Saint Francis St Wichita KS 67214-3821
Phone: (800) 374-5326
Fax: (800) 374-7656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 6367 Kansas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0432621 Kansas

Profile Details

NPI number 1265653992
LBN Legal business name Petrie, David Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Sep 22nd, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265653992 NPPES
Kansas MEDICAID 200608960A
Kansas Other P00727381

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