Petruccelli, Michele Elizabeth
Petruccelli, Michele Elizabeth is an individual health care provider with primary practice located at 36100 Euclid Avenue Suite 240, Willoughby OH 44094. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Petruccelli, Michele Elizabeth can be contacted via phone (440) 953-6294.Contact Information
Primary practice address
36100 Euclid Avenue Suite 240
Willoughby OH 44094
Phone: (440) 953-6294
Fax: (440) 918-4687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA18962-NP | Ohio |
Profile Details
| NPI number | 1538521000 |
|---|---|
| LBN Legal business name | Petruccelli, Michele Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2016 |
| Last updated | Mar 1st, 2021 - about 3 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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