Petroff, Christy A
Petroff, Christy A is an individual health care provider with primary practice located at 7815 E Jefferson Ave 1B, Detroit MI 48214-3704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Petroff, Christy A can be contacted via phone (313) 499-4312.Contact Information
Primary practice address
7815 E Jefferson Ave 1B
Detroit MI 48214-3704
Phone: (313) 499-4312
Fax: (313) 499-4863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301078024 | Michigan |
Profile Details
| NPI number | 1467433516 |
|---|---|
| LBN Legal business name | Petroff, Christy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 19th, 2007 - about 19 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 | 1467433516 | NPPES |
| Michigan | MEDICAID | 4647803 | |
| Michigan | Other | 5315019604 |
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