Organization · Type 2 NPI
Petre-Jo LLC
Preferred Provider Organization · Madison, TN
NPI number
1063876076
Active
Practice location
607 W Due West Ave Ste 95
Madison, TN 37115-4415
Mailing address
858 Harbour Greens Pl
Sparta, TN 38583-4294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | L000000017166 (TN) |
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.
About NPI 1063876076
Petre-Jo LLC's National Provider Identifier is 1063876076, issued on Apr 6, 2016. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Madison, TN. The record was last updated on Apr 6, 2016.