Petrovich, Alison
Petrovich, Alison is an individual health care provider with primary practice located at 10215 Broadway , Crown Point IN 46307-8001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Petrovich, Alison can be contacted via phone (219) 661-6152.Contact Information
Primary practice address
10215 Broadway
Crown Point IN 46307-8001
Phone: (219) 661-6152
Fax: (219) 703-6833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01054379 | Indiana |
Profile Details
| NPI number | 1588669188 |
|---|---|
| LBN Legal business name | Petrovich, Alison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | May 28th, 2024 - about 2 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 | 1588669188 | NPPES |
| Indiana | MEDICAID | 200345670 | |
| Indiana | Other | 000000721923 |
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