Pettigrew, Luther Creed
Pettigrew, Luther Creed is an individual health care provider with primary practice located at 740 S Limestone J 401, Lexington KY 40536-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Pettigrew, Luther Creed can be contacted via phone (859) 323-5661.Contact Information
Primary practice address
740 S Limestone J 401
Lexington KY 40536-0001
Phone: (859) 323-5661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 26574 | Kentucky |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 26574 | Kentucky |
Profile Details
| NPI number | 1184662397 |
|---|---|
| LBN Legal business name | Pettigrew, Luther Creed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | May 2nd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184662397 | NPPES |
| Kentucky | MEDICAID | 64265747 |
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