Petterborg, Phillip Warren

Petterborg, Phillip Warren is an individual health care provider with primary practice located at 300 Tuskegee Blvd , Dover Afb DE 19902-5300. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Petterborg, Phillip Warren can be contacted via phone (302) 677-2574.

Contact Information

Primary practice address
300 Tuskegee Blvd Dover Afb DE 19902-5300
Phone: (302) 677-2574
Fax: (302) 677-2526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-730 Idaho

Profile Details

NPI number 1376536813
LBN Legal business name Petterborg, Phillip Warren
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 8th, 2007 - about 18 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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