Petruso, Robert William

Petruso, Robert William is an sole proprietor health care provider with primary practice located at 937 Park Ave , Meadville PA 16335-3334. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Eye and Vision Services Providers / Technician/Technologist. Speech, Language and Hearing Service Providers / Hearing Instrument Specialist is his primary health care specialty. Petruso, Robert William can be contacted via phone (814) 724-6211.

Contact Information

Primary practice address
937 Park Ave Meadville PA 16335-3334
Phone: (814) 724-6211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X F02267 Pennsylvania
Eye and Vision Services Providers / Technician/Technologist 156F00000X F02267 Pennsylvania

Profile Details

NPI number 1447303185
LBN Legal business name Petruso, Robert William
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Apr 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447303185 NPPES
Pennsylvania MEDICAID 01943398

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