Petry, Jeffrey W

Petry, Jeffrey W is an individual health care provider with primary practice located at 30 E Apple St Ste 3300, Dayton OH 45409-2939. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Petry, Jeffrey W can be contacted via phone (937) 208-8394.

Contact Information

Primary practice address
30 E Apple St Ste 3300 Dayton OH 45409-2939
Phone: (937) 208-8394
Fax: (937) 208-8388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35-051279 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.051279 Ohio

Profile Details

NPI number 1689652372
LBN Legal business name Petry, Jeffrey W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Nov 25th, 2013 - about 13 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 1689652372 NPPES
Ohio MEDICAID 0593666

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