Petriello, Alfred
Petriello, Alfred is an sole proprietor health care provider with primary practice located at 12 Bennington St , East Boston MA 02128-1771. 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. Petriello, Alfred can be contacted via phone (617) 569-4200.Contact Information
Primary practice address
12 Bennington St
East Boston MA 02128-1771
Phone: (617) 569-4200
Fax: (617) 569-4200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10322 | Massachusetts |
Profile Details
| NPI number | 1992894513 |
|---|---|
| LBN Legal business name | Petriello, Alfred |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 29th, 2010 - about 14 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 | 1992894513 | NPPES |
| Massachusetts | MEDICAID | 0306240 |
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