Petrill, Amy Louise
Petrill, Amy Louise is an individual health care provider with primary practice located at 4018 Medina Rd Ste D , Medina OH 44256-9675. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Petrill, Amy Louise can be contacted via phone (330) 722-4166.Contact Information
Primary practice address
4018 Medina Rd Ste D
Medina OH 44256-9675
Phone: (330) 722-4166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I.2002101 | Ohio |
Profile Details
| NPI number | 1407304470 |
|---|---|
| LBN Legal business name | Petrill, Amy Louise |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2016 |
| Last updated | Sep 13th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407304470 | NPPES |
| Ohio | MEDICAID | 2488428 |
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