Charles Robert Pettit Md A Medical Corporation

LBN: Charles Robert Pettit Md A Medical Corporation
Charles Robert Pettit Md A Medical Corporation is an health care organization with primary practice located at 175 Concourse Blvd , Santa Rosa CA 95403-8217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as the primary health care specialty. Charles Robert Pettit Md A Medical Corporation can be contacted via phone (707) 284-9200, or through Pettit, Charles Robert via phone (707) 843-3999.

Contact Information

Primary practice address
175 Concourse Blvd Santa Rosa CA 95403-8217
Phone: (707) 284-9200
Fax: (707) 284-9204
Website:
Map and Directions
Authorized official contact:
Name: Pettit, Charles Robert Doctor of Medicine (MD)
Phone: (707) 843-3999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X

Profile Details

NPI number 1316268386
LBN Legal business name Charles Robert Pettit Md A Medical Corporation
DBA Doing business as
Authorized official Pettit, Charles Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2010
Last updated Aug 14th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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