Petrunak, Amy Marie
Petrunak, Amy Marie is an sole proprietor health care provider with primary practice located at 500 Gypsy Ln , Youngstown OH 44504-1315. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Petrunak, Amy Marie can be contacted via phone (330) 747-6700.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | 35068169P | Ohio |
Profile Details
| NPI number | 1710908249 |
|---|---|
| LBN Legal business name | Petrunak, Amy Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710908249 | NPPES |
| Ohio | MEDICAID | 2029576 | |
| Ohio | Other | 942460636338 |
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