Petri Pickstone, Benita M

Petri Pickstone, Benita M is an individual health care provider with primary practice located at 920 N Hamilton Rd Suite 300, Gahanna OH 43230-1757. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Petri Pickstone, Benita M can be contacted via phone (614) 293-2614.

Contact Information

Primary practice address
920 N Hamilton Rd Suite 300 Gahanna OH 43230-1757
Fax: (614) 293-7001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35072471 Ohio

Profile Details

NPI number 1013970565
LBN Legal business name Petri Pickstone, Benita M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Feb 23rd, 2021 - about 3 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 1013970565 NPPES
Ohio MEDICAID 2072859

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