Pettibone-Pond, Amanda Jean
Pettibone-Pond, Amanda Jean is an individual health care provider with primary practice located at 1520 S Liberty Dr , Bloomington IN 47403-5167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Pettibone-Pond, Amanda Jean can be contacted via phone (812) 676-4500.Contact Information
Primary practice address
1520 S Liberty Dr
Bloomington IN 47403-5167
Phone: (812) 676-4500
Fax: (812) 676-4501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01076608A | Indiana |
Profile Details
| NPI number | 1790075596 |
|---|---|
| LBN Legal business name | Pettibone-Pond, Amanda Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2011 |
| Last updated | Jul 6th, 2016 - about 8 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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