Carol V Petillo in Spartanburg - Audiologist
Carol V Petillo - NPI 1063684215
Carol V Petillo is a Audiologist in Spartanburg, South Carolina. Carol V Petillo practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Carol V Petillo is 1063684215. The last update date is 2016-07-15.
Carol V Petillo's current location address is 1330 Boiling Springs Rd, Spartanburg, South Carolina. You can contact this provider via phone number 8642781273. The mailing address for Carol V Petillo is 1330 Boiling Springs Rd, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol V Petillo |
|---|---|
| Address | 1330 Boiling Springs Rd, Spartanburg, South Carolina |
| Phone Number | 8642781273 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1063684215 |
|---|---|
| Provider Enumeration Date | 2008-03-27 |
| Last Updated Date | 2016-07-15 |
Provider Mailing Address Detail
| Address | 1330 Boiling Springs Rd |
|---|---|
| City | Spartanburg |
| State | South Carolina (SC) |
| Post Code | 293034205 |
| Phone Number | 8642781273 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 7312 |
|
Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1618R | NC | BCBSNC | |
| 5939044 | NC | CIGNA | |
| 7413356 | NC | -- | |
| 770333 | WELLCARE | ||
| P01044436 | SC | RAILROAD MEDICARE | |
| 9873230 | NC | AETNA | |
| P01450607 | NC | RAILROAD MEDICARE | |
| 30111366 | SC | SELECT HEALTH OF SOUTH CAROLIN | |
| SA1085 | SC | -- |
Post Comment/ Review Below
What is the Carol V Petillo's 1063684215?
The Carol V Petillo's NPI (National Provider Identifier) Number is 1063684215. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Carol V Petillo located?
The Carol V Petillo is located at 1330 Boiling Springs Rd, Spartanburg, SC 293034205.
What is the area of specialization for Carol V Petillo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carol V Petillo is Audiologist, and the corresponding taxonomy code that categorizes this area of expertise is 231H00000X.
On what date did the Carol V Petillo receive the assignment of its 1063684215 from the Centers for Medicare & Medicaid Services?
The Carol V Petillo was issued its 1063684215 by the Centers for Medicare & Medicaid Services on 2008-03-27.
As of what date was the information regarding Carol V Petillo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carol V Petillo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-07-15.