Petrushak, Julie Ann

Petrushak, Julie Ann is an sole proprietor health care provider with primary practice located at 2876 Lake Silver Rd , Crestview FL 32536-7161. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Petrushak, Julie Ann can be contacted via phone (850) 902-7624.

Contact Information

Primary practice address
2876 Lake Silver Rd Crestview FL 32536-7161
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1013401629
LBN Legal business name Petrushak, Julie Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2018
Last updated Jun 18th, 2018 - about 7 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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