Petok, William David
Petok, William David is an sole proprietor health care provider with primary practice located at 479 Jumpers Hole Rd Suite 304B, Severna Park MD 21146-1600. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Petok, William David can be contacted via phone (410) 647-9166.Contact Information
Primary practice address
479 Jumpers Hole Rd Suite 304B
Severna Park MD 21146-1600
Phone: (410) 647-9166
Fax: (410) 647-9174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1349 | Maryland |
Profile Details
| NPI number | 1275607764 |
|---|---|
| LBN Legal business name | Petok, William David |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 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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