Pettibone, Katherine

Pettibone, Katherine is an individual health care provider with primary practice located at 2240 Mercury Way , Santa Rosa CA 95407-5413. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Pettibone, Katherine can be contacted via phone (707) 570-3120.

Contact Information

Primary practice address
2240 Mercury Way Santa Rosa CA 95407-5413
Phone: (707) 570-3120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E5743 California

Profile Details

NPI number 1740773035
LBN Legal business name Pettibone, Katherine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2018
Last updated Apr 6th, 2022 - 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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