Petronko, Michael Roman
Petronko, Michael Roman is an sole proprietor health care provider with primary practice located at 26 Linden Ave Suite 205-A, Springfield NJ 07081-1834. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Petronko, Michael Roman can be contacted via phone (973) 258-1515.Contact Information
Primary practice address
26 Linden Ave Suite 205-A
Springfield NJ 07081-1834
Phone: (973) 258-1515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 950 | New Jersey |
Profile Details
| NPI number | 1851553028 |
|---|---|
| LBN Legal business name | Petronko, Michael Roman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2008 |
| Last updated | Jun 30th, 2008 - about 18 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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