Petrus, Philippe William

Petrus, Philippe William is an sole proprietor health care provider with primary practice located at 1900 Denver Ave , El Paso TX 79902-3008. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Petrus, Philippe William can be contacted via phone (915) 544-4000.

Contact Information

Primary practice address
1900 Denver Ave El Paso TX 79902-3008
Phone: (915) 544-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA03331 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03331 Texas

Profile Details

NPI number 1639398035
LBN Legal business name Petrus, Philippe William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Dec 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639398035 NPPES
New Mexico MEDICAID 60522321
New Mexico MEDICAID 203811901

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