Pettis, Christopher Ryan

Pettis, Christopher Ryan is an individual health care provider with primary practice located at 1746 Cole Blvd Ste 150 , Lakewood CO 80401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pettis, Christopher Ryan can be contacted via phone (303) 914-8800.

Contact Information

Primary practice address
1746 Cole Blvd Ste 150 Lakewood CO 80401
Phone: (303) 914-8800
Fax: (303) 716-3777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME105918 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0116017273 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0060386 Colorado

Profile Details

NPI number 1851352371
LBN Legal business name Pettis, Christopher Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Jul 27th, 2018 - about 6 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 1851352371 NPPES
Florida MEDICAID 002429100

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