Pettigrew-Fletcher, Gloria

Pettigrew-Fletcher, Gloria is an individual health care provider with primary practice located at 12432 A 36Th St C20, Bellevue NE 68123. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Pettigrew-Fletcher, Gloria can be contacted via phone (402) 598-8363.

Contact Information

Primary practice address
12432 A 36Th St C20 Bellevue NE 68123
Fax: (888) 743-1329
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X REGISTRY1037 Nebraska

Profile Details

NPI number 1407482227
LBN Legal business name Pettigrew-Fletcher, Gloria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2020
Last updated Mar 24th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407482227 NPPES
Nebraska Other 043812531 IN HOME PERSONAL SERVICES, CMA

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