Petrikas, James Joseph
Petrikas, James Joseph is an individual health care provider with primary practice located at 4708 Alliance Blvd Ste 150 , Plano TX 75093-5339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Petrikas, James Joseph can be contacted via phone (972) 596-7801.Contact Information
Primary practice address
4708 Alliance Blvd Ste 150
Plano TX 75093-5339
Phone: (972) 596-7801
Fax: (972) 596-9307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 125-042933 | Illinois |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | M4442 | Texas |
Profile Details
| NPI number | 1356362719 |
|---|---|
| LBN Legal business name | Petrikas, James Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | May 23rd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356362719 | NPPES |
| Texas | MEDICAID | 181896501 | |
| Texas | MEDICAID | 181896503 | |
| Texas | MEDICAID | 181896502 | |
| Texas | Other | 8W1133 | |
| Texas | MEDICAID | 200123060A |
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