Petrilak, Nancy Jean

Petrilak, Nancy Jean is an individual health care provider with primary practice located at 1St Medical Group 77 Nealy Ave, Langley Afb VA 23665-2023. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Petrilak, Nancy Jean can be contacted via phone (757) 764-6973.

Contact Information

Primary practice address
1St Medical Group 77 Nealy Ave Langley Afb VA 23665-2023
Phone: (757) 764-6973
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9998 California

Profile Details

NPI number 1508089673
LBN Legal business name Petrilak, Nancy Jean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
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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