Petropolis, Angelo A
Petropolis, Angelo A is an individual health care provider with primary practice located at 1916 Paseo San Luis , Sierra Vista AZ 85635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Petropolis, Angelo A can be contacted via phone (520) 458-1505.Contact Information
Primary practice address
1916 Paseo San Luis
Sierra Vista AZ 85635
Phone: (520) 458-1505
Fax: (520) 458-6949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 22192 | Arizona |
Profile Details
| NPI number | 1457391732 |
|---|---|
| LBN Legal business name | Petropolis, Angelo A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Mar 20th, 2023 - about 3 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 | 1457391732 | NPPES |
| Other | AZ0776240 | BCBS AZ | |
| MEDICAID | 325242 | BCBS AZ | |
| Other | 516118 | BCBS AZ |
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