Dr. Jan H Petri
Otolaryngologist (ENT Doctor)
2028 W Poplar Ave Ste 112
Collierville
, Tennessee 38017-0618
Dr. Jan H Petri
Otolaryngologist (ENT Doctor)
2028 W Poplar Ave Ste 112
Collierville
, Tennessee 38017-0618
(901) 861-2527
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Jan H Petri
- 9554 Fox Hill Cir S
- Germantown, TN
- Zip : 38139-6829
- Fax : (901) 861-2527
- Phone : (901) 861-2526
Second Address
- Dr. Jan H Petri
- 2028 W Poplar Ave Ste 112
- Collierville, TN
- Zip : 38017-0618
- Fax : (901) 861-2527
- Phone : (901) 861-2526
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Is Dr. Jan H Petri a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 17612 | TN |
National Provider Identifier
| NPI | 1033175682 |
|---|---|
| Provider Name | Dr. Jan H Petri |
| First Address | Germantown, TN 38139-6829 |
| Second Address | Collierville, TN 38017-0618 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3073227 | (05) | TN |
| F49591 | (02) |
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.