Petrovich, Lawrence J
Petrovich, Lawrence J is an individual health care provider with primary practice located at 12 Hospital Dr Suite 9, York ME 03909-1030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Petrovich, Lawrence J can be contacted via phone (207) 363-6136.Contact Information
Primary practice address
12 Hospital Dr Suite 9
York ME 03909-1030
Phone: (207) 363-6136
Fax: (207) 363-4863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 8487 | Maine |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 6006 | New Hampshire |
Profile Details
| NPI number | 1306881198 |
|---|---|
| LBN Legal business name | Petrovich, Lawrence J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Mar 4th, 2008 - about 17 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 | 1306881198 | NPPES |
| Maine | MEDICAID | 322840099 | |
| Maine | MEDICAID | 81113078 |
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