Petrisko, Jerome J
Petrisko, Jerome J is an individual health care provider with primary practice located at 900 Ne 26Th Avenue 2Nd Floor, Fort Lauderdale FL 33304. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Petrisko, Jerome J can be contacted via phone (954) 566-4208.Contact Information
Primary practice address
900 Ne 26Th Avenue 2Nd Floor
Fort Lauderdale FL 33304
Phone: (954) 566-4208
Fax: (954) 566-5346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN6949 | Florida |
Profile Details
| NPI number | 1174708523 |
|---|---|
| LBN Legal business name | Petrisko, Jerome J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2008 |
| Last updated | Jan 4th, 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.
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