Petill, Regina
Petill, Regina is an individual health care provider with primary practice located at 16244 S Military Trl Ste 110 , Delray Beach FL 33484-6505. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Petill, Regina can be contacted via phone (561) 865-2550.Contact Information
Primary practice address
16244 S Military Trl Ste 110
Delray Beach FL 33484-6505
Phone: (561) 865-2550
Fax: (561) 865-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 5439 | Florida |
Profile Details
| NPI number | 1134577315 |
|---|---|
| LBN Legal business name | Petill, Regina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2016 |
| Last updated | May 30th, 2016 - about 10 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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