Petraiuolo, William J

Petraiuolo, William J is an individual health care provider with primary practice located at 36060 Euclid Ave Suite 204, Willoughby OH 44094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Petraiuolo, William J can be contacted via phone (440) 602-6553.

Contact Information

Primary practice address
36060 Euclid Ave Suite 204 Willoughby OH 44094
Fax: (440) 602-6566
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35061722 Ohio

Profile Details

NPI number 1144336470
LBN Legal business name Petraiuolo, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Sep 6th, 2007 - about 19 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 1144336470 NPPES
Ohio MEDICAID 0836975

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