Petrillo, Michael Anthony

Petrillo, Michael Anthony is an sole proprietor health care provider with primary practice located at 157 William Hilton Pkwy , Hilton Head Island SC 29926-5218. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Petrillo, Michael Anthony can be contacted via phone (843) 842-2273.

Contact Information

Primary practice address
157 William Hilton Pkwy Hilton Head Island SC 29926-5218
Phone: (843) 842-2273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1966 South Carolina

Profile Details

NPI number 1073946745
LBN Legal business name Petrillo, Michael Anthony
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2013
Last updated Nov 6th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073946745 NPPES
South Carolina Other 1966 SOUTH CAROLINA BOARD OF MEDICAL EXAMINER

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