Petrosky, Joyce

Petrosky, Joyce is an individual health care provider with primary practice located at 175 Union St Suite C, Bangor ME 04401-6100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Petrosky, Joyce can be contacted via phone (207) 570-5585.

Contact Information

Primary practice address
175 Union St Suite C Bangor ME 04401-6100
Phone: (207) 570-5585
Fax: (207) 433-1070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP081808 Maine

Profile Details

NPI number 1336245000
LBN Legal business name Petrosky, Joyce
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Feb 14th, 2013 - about 12 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 1336245000 NPPES
Maine MEDICAID 245690099

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