Angelo F. Petrolla Dpm

LBN: Angelo F. Petrolla Dpm
Angelo F. Petrolla Dpm is an health care organization with primary practice located at 3507 Canfield Rd Suite 7, Youngstown OH 44511-2859. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Angelo F. Petrolla Dpm can be contacted via phone (330) 793-0566, or through Schulick, Joanne via phone (330) 793-0566.

Contact Information

Primary practice address
3507 Canfield Rd Suite 7 Youngstown OH 44511-2859
Phone: (330) 793-0566
Fax: (330) 793-5767
Website:
Map and Directions
Authorized official contact:
Name: Schulick, Joanne
Phone: (330) 793-0566

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36.001767 Ohio

Profile Details

NPI number 1154591675
LBN Legal business name Angelo F. Petrolla Dpm
DBA Doing business as
Authorized official Schulick, Joanne
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2008
Last updated Nov 28th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154591675 NPPES
Ohio MEDICAID 0333697

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