JULIA PETRAITIS
NPI 1295108363
Physician Assistant - Medical in Marion, OH
Active since November 11, 2015
About Julia Petraitis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIA PETRAITIS (NPI 1295108363) is an individual medical provider in Marion, Ohio, licensed in Ohio (004535) and active in the NPI registry since November 2015.
NPPES Registry Identity
NPI1295108363
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJULIA PETRAITIS
Location Address1728 MARION WALDO RDMarion, OH 43302-7457
Mailing Address1728 Marion Waldo RdMarion, OH 43302-7457 · (740) 389-2297
Phone(740) 389-2297
Sole ProprietorNo
Enumeration DateNovember 11, 2015
Last NPPES UpdateAugust 7, 20182 updates tracked since enumeration
✔ NPI 1295108363 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 004535
1728 MARION WALDO RD, Marion, OH 43302
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295108363, enumerated as an "individual" on November 11, 2015.
The provider is located at 1728 MARION WALDO RD MARION, OH 43302 and the phone number is (740) 389-2297.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.