Petruso, Robert William

Petruso, Robert William is an individual health care provider with primary practice located at 937 Park Ave , Meadville PA 16335-3334. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as 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: (814) 337-0188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AT005853 Pennsylvania
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A01527 Ohio
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 346 Oklahoma

Profile Details

NPI number 1750333084
LBN Legal business name Petruso, Robert William
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 12th, 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 1750333084 NPPES
Pennsylvania Other 314148 UPMC
Pennsylvania Other 000000375162 UPMC
Pennsylvania MEDICAID 0015214050001 UPMC
Pennsylvania Other 251916413 UPMC
Pennsylvania Other 219759 UPMC

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