Petrillo, Anthony Pasquale

Petrillo, Anthony Pasquale is an individual health care provider with primary practice located at 368 River St , Springfield VT 05156-2242. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Petrillo, Anthony Pasquale can be contacted via phone (802) 886-2526.

Contact Information

Primary practice address
368 River St Springfield VT 05156-2242
Phone: (802) 886-2526
Fax: (802) 886-2225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0030018 Vermont

Profile Details

NPI number 1306872312
LBN Legal business name Petrillo, Anthony Pasquale
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 13th, 2011 - about 15 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 1306872312 NPPES
Vermont MEDICAID 9000087

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