Pettavel, Paul Pierre
Pettavel, Paul Pierre is an individual health care provider with primary practice located at 1500 Sw 10Th Ave , Topeka KS 66604-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pettavel, Paul Pierre can be contacted via phone (785) 354-6963.Contact Information
Primary practice address
1500 Sw 10Th Ave
Topeka KS 66604-1301
Phone: (785) 354-6963
Fax: (785) 354-5241
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 0427482 | Kansas |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2010023565 | Missouri |
Profile Details
NPI number | 1568422517 |
---|---|
LBN Legal business name | Pettavel, Paul Pierre |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Aug 6th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568422517 | NPPES |
Kansas | Other | 053427 | BCBS |
Kansas | MEDICAID | 100317860A | BCBS |
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