National Provider Identifier Database

PETRE JO LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

PETRE-JO LLC
607 W DUE WEST AVE STE 95
MADISON, TN37115-4415
Phone: 615-982-8081
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for PETRE-JO LLC

NPI Number 1063876076
Legal business name
LBN
PETRE-JO LLC
Authorized official PETER KONECNY - (MANAGING MEMBER)
Entity Organization
Organization subpart Yes
Enumeration date 04/06/2016
Last updated 04/06/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: L000000017166

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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