Petelicki, Michael

Petelicki, Michael is an individual health care provider with primary practice located at 242 W Parkway Suite 1, Pompton Plains NJ 07444-1029. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Petelicki, Michael can be contacted via phone (973) 831-0717.

Contact Information

Primary practice address
242 W Parkway Suite 1 Pompton Plains NJ 07444-1029
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01023900 New Jersey

Profile Details

NPI number 1093759334
LBN Legal business name Petelicki, Michael
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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