Petrocelli, Eileen Kim
Petrocelli, Eileen Kim is an individual health care provider with primary practice located at 3212 N Windsong Dr 2Nd Floor, Prescott Valley AZ 86314-2255. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Petrocelli, Eileen Kim can be contacted via phone (928) 583-1037.Contact Information
Primary practice address
3212 N Windsong Dr 2Nd Floor
Prescott Valley AZ 86314-2255
Phone: (928) 583-1037
Fax: (928) 771-3379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X | 11132727 | Arizona |
Profile Details
| NPI number | 1295087203 |
|---|---|
| LBN Legal business name | Petrocelli, Eileen Kim |
| Credentials | IBCLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2012 |
| Last updated | Oct 15th, 2012 - about 14 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 | 1295087203 | NPPES |
| Arizona | Other | 11132727 | IBCLC |
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