Petro, Misty Susanne
Petro, Misty Susanne is an individual health care provider with primary practice located at 1355 W Bloomfield Rd Ste B , Bloomington IN 47403-2052. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Petro, Misty Susanne can be contacted via phone (812) 336-7910.Contact Information
Primary practice address
1355 W Bloomfield Rd Ste B
Bloomington IN 47403-2052
Phone: (812) 336-7910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 99032299A | Indiana |
Profile Details
| NPI number | 1013174051 |
|---|---|
| LBN Legal business name | Petro, Misty Susanne |
| Credentials | PTA,ATC,CSCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | May 19th, 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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