Pettibone, Carol Anne

Pettibone, Carol Anne is an sole proprietor health care provider with primary practice located at 1840 Gray Lynn Dr , Walla Walla WA 99362-9247. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Pettibone, Carol Anne can be contacted via phone (509) 529-3447.

Contact Information

Primary practice address
1840 Gray Lynn Dr Walla Walla WA 99362-9247
Phone: (509) 529-3447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 310601 Washington

Profile Details

NPI number 1114704319
LBN Legal business name Pettibone, Carol Anne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2023
Last updated Sep 11th, 2023 - about last year

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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