Organization
JON PETRUSCHKE LLC
Active
Organization
JON PETRUSCHKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON PETRUSCHKE (SOCIAL WORKER)
(207) 774-9667
Entity
Organization
Contact information
Practice address
145 NEWBURY ST, SUITE 2, PORTLAND, ME 04101-4261
(207) 774-9667
Mailing address
21 HOWARD ST, PORTLAND, ME 04101-3208
(207) 774-9667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up