Petrusich, James Patrick

Petrusich, James Patrick is an individual health care provider with primary practice located at 1815 E 19Th St Suite 1, The Dalles OR 97058-3385. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Petrusich, James Patrick can be contacted via phone (541) 298-8676.

Contact Information

Primary practice address
1815 E 19Th St Suite 1 The Dalles OR 97058-3385
Phone: (541) 298-8676
Fax: (541) 298-7746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23599 Oregon

Profile Details

NPI number 1073870689
LBN Legal business name Petrusich, James Patrick
Credentials DOCTOR OF AUDIOLOGY
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2012
Last updated May 9th, 2016 - about 9 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 1073870689 NPPES
Florida Other P01627946 RR MEDICARE

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