Petranchuk, Bobbi
Petranchuk, Bobbi is an individual health care provider with primary practice located at 7550 S State St , Lowville NY 13367-1533. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petranchuk, Bobbi can be contacted via phone (315) 376-5450.Contact Information
Primary practice address
7550 S State St
Lowville NY 13367-1533
Phone: (315) 376-5450
Fax: (315) 785-8628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 074630 | New York |
Profile Details
| NPI number | 1609824960 |
|---|---|
| LBN Legal business name | Petranchuk, Bobbi |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jun 7th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609824960 | NPPES |
| New York | MEDICAID | 00354316 |
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