Robert K. Petrelli, Od
LBN: Robert K. Petrelli, Od
Robert K. Petrelli, Od is an health care organization with primary practice located at 1400 New Jersey Ave , North Wildwood NJ 08260-2738. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty.
Robert K. Petrelli, Od can be contacted via phone (609) 522-4199, or through Petrelli, Robert K via phone (609) 522-4199.
Contact Information
Primary practice address
1400 New Jersey Ave
North Wildwood NJ 08260-2738
Phone: (609) 522-4199
Fax: (609) 522-3692
Website:
Authorized official contact:
Name: Petrelli, Robert K Doctor of Osteopathy (DO)
Phone: (609) 522-4199
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Customized Equipment | 332BC3200X | NJ3013 | New Jersey |
| Suppliers / Customized Equipment | 332BC3200X | PA-OE004707L | Pennsylvania |
Profile Details
| NPI number | 1083896153 |
|---|---|
| LBN Legal business name | Robert K. Petrelli, Od |
| DBA Doing business as | |
| Authorized official | Petrelli, Robert K Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Dec 4th, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083896153 | NPPES |
| New Jersey | Other | 0097739000 | AMERIHEALTH |
| New Jersey | MEDICAID | 2400901 | AMERIHEALTH |
| New Jersey | Other | 455040 | AMERIHEALTH |
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