Dr. Barbara Lynn Petkovic
Primary Podiatric Medicine
6200 Pleasant Ave Ste 3
Fairfield
, Ohio 45014-4670
Dr. Barbara Lynn Petkovic
Primary Podiatric Medicine
6200 Pleasant Ave Ste 3
Fairfield
, Ohio 45014-4670
(513) 858-7827
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Barbara Lynn Petkovic
- 6200 Pleasant Ave Ste 3
- Fairfield, OH
- Zip : 45014-4670
- Fax : (513) 858-7827
- Phone : (513) 829-9333
Second Address
- Dr. Barbara Lynn Petkovic
- 6200 Pleasant Ave Ste 3
- Fairfield, OH
- Zip : 45014-4670
- Fax : (513) 858-7827
- Phone : (513) 829-9333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 36003284 | OH |
National Provider Identifier
| NPI | 1508829359 |
|---|---|
| Provider Name | Dr. Barbara Lynn Petkovic |
| First Address | Fairfield, OH 45014-4670 |
| Second Address | Fairfield, OH 45014-4670 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2006 |
| Last Update Date | 27/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2323444 | (05) | OH |
| U89457 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.