Petrus, Earl Paul
Petrus, Earl Paul is an individual health care provider with primary practice located at 21000 Plummer St , Chatsworth CA 91311-4903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Petrus, Earl Paul can be contacted via phone (818) 882-6400.Contact Information
Primary practice address
21000 Plummer St
Chatsworth CA 91311-4903
Phone: (818) 882-6400
Fax: (818) 882-6404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A19750 | California |
Profile Details
| NPI number | 1891713228 |
|---|---|
| LBN Legal business name | Petrus, Earl Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Feb 18th, 2010 - about 16 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 | 1891713228 | NPPES |
| California | MEDICAID | 00A197500 |
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