Petit, James Michael

Petit, James Michael is an sole proprietor health care provider with primary practice located at 20 N Grand Ave , Fort Thomas KY 41075-1755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Petit, James Michael can be contacted via phone (859) 781-0431.

Contact Information

Primary practice address
20 N Grand Ave Fort Thomas KY 41075-1755
Phone: (859) 781-0431
Fax: (859) 781-0473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20528 Kentucky

Profile Details

NPI number 1851393748
LBN Legal business name Petit, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Jul 8th, 2007 - about 17 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 1851393748 NPPES
Kentucky MEDICAID 64205289

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