Petrocelli, Alfred

Petrocelli, Alfred is an individual health care provider with primary practice located at 2025 Soquel Ave , Santa Cruz CA 95062-1323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Petrocelli, Alfred can be contacted via phone (831) 458-5547.

Contact Information

Primary practice address
2025 Soquel Ave Santa Cruz CA 95062-1323
Phone: (831) 458-5547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G32082 California

Profile Details

NPI number 1588644025
LBN Legal business name Petrocelli, Alfred
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 25th, 2012 - about 13 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 1588644025 NPPES
California Other 00G320820 MEDICAL

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