Petroff, Jane Veronica

Petroff, Jane Veronica is an sole proprietor health care provider with primary practice located at 57 North St Ste 216 , Danbury CT 06810-5627. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Petroff, Jane Veronica can be contacted via phone (203) 797-9209.

Contact Information

Primary practice address
57 North St Ste 216 Danbury CT 06810-5627
Fax: (203) 748-7692
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 022321 Connecticut

Profile Details

NPI number 1063446698
LBN Legal business name Petroff, Jane Veronica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Dec 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063446698 NPPES
Connecticut MEDICAID 001223213

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