Petrunak, Amy Marie

Petrunak, Amy Marie is an sole proprietor health care provider with primary practice located at 500 Gypsy Ln , Youngstown OH 44504-1315. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Petrunak, Amy Marie can be contacted via phone (330) 747-6700.

Contact Information

Primary practice address
500 Gypsy Ln Youngstown OH 44504-1315
Phone: (330) 747-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 35068169P Ohio

Profile Details

NPI number 1710908249
LBN Legal business name Petrunak, Amy Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1710908249 NPPES
Ohio MEDICAID 2029576
Ohio Other 942460636338

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