Pettey, Adam Adair
Pettey, Adam Adair is an individual health care provider with primary practice located at 2120 Professional Dr , Roseville CA 95661-3700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Pettey, Adam Adair can be contacted via phone (916) 771-6662.Contact Information
Primary practice address
2120 Professional Dr
Roseville CA 95661-3700
Phone: (916) 771-6662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME90875 | Florida |
Profile Details
| NPI number | 1629051677 |
|---|---|
| LBN Legal business name | Pettey, Adam Adair |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Dec 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629051677 | NPPES |
| Florida | Other | 48701 | BLUECROSS/BLUESHIELD |
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