Petrelli, Robert K
Petrelli, Robert K is an sole proprietor health care provider with primary practice located at 1400 New Jersey Ave , North Wildwood NJ 08260-2738. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Petrelli, Robert K can be contacted via phone (609) 522-4199.Contact Information
Primary practice address
1400 New Jersey Ave
North Wildwood NJ 08260-2738
Phone: (609) 522-4199
Fax: (609) 522-3692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | NJ3013 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | PA-OE004707L | Pennsylvania |
Profile Details
| NPI number | 1699772988 |
|---|---|
| LBN Legal business name | Petrelli, Robert K |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699772988 | NPPES |
| New Jersey | Other | 0097739000 | AMERIHEALTH |
| New Jersey | Other | 455040 | AMERIHEALTH |
| New Jersey | MEDICAID | 2400901 | AMERIHEALTH |
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