Petrillo, Amy M.
Petrillo, Amy M. is an individual health care provider with primary practice located at 1302 W Main St Ste. A, Louisville OH 44641-1114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Petrillo, Amy M. can be contacted via phone (330) 875-5544.Contact Information
Primary practice address
1302 W Main St Ste. A
Louisville OH 44641-1114
Phone: (330) 875-5544
Fax: (330) 875-8150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA 13890-NP | Ohio |
Profile Details
NPI number | 1174874846 |
---|---|
LBN Legal business name | Petrillo, Amy M. |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2012 |
Last updated | Jun 21st, 2016 - about 9 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 | 1174874846 | NPPES |
Ohio | MEDICAID | 0073609 |
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