Pettiford, Courtney Katril

Pettiford, Courtney Katril is an sole proprietor health care provider with primary practice located at 122 George St , Beckley WV 25801-2641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pettiford, Courtney Katril can be contacted via phone (304) 250-0382.

Contact Information

Primary practice address
122 George St Beckley WV 25801-2641
Fax: (304) 250-0383
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 64715 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 24518 West Virginia

Profile Details

NPI number 1770700163
LBN Legal business name Pettiford, Courtney Katril
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Apr 26th, 2012 - about 12 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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