Pettis, Emily Brooke
Pettis, Emily Brooke is an sole proprietor health care provider with primary practice located at 1118 Ross Clark Cir Ste 100 , Dothan AL 36301-3023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pettis, Emily Brooke can be contacted via phone (334) 794-1148.Contact Information
Primary practice address
1118 Ross Clark Cir Ste 100
Dothan AL 36301-3023
Phone: (334) 794-1148
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AG0114029 | Alabama |
Profile Details
| NPI number | 1811390396 |
|---|---|
| LBN Legal business name | Pettis, Emily Brooke |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2014 |
| Last updated | Sep 30th, 2014 - about 10 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.
Popular Providers
-
Kilcullen, Patricia Stork
19 Bradhurst Ave , Hawthorne NY 10532-2140 -
Albergo, Lucille A
3 Care Ln Suite 300, Saratoga Springs NY 12866-8623 -
Goforth, James Eric
201 Doctors Dr , Dothan AL 36301-2949 -
Broyles, Susan Elaine
2826 Ross Clark Cir Ste 105 , Dothan AL 36301-2017 -
Scott, Dana Michelle
480 Honeysuckle Road , Dothan AL 36305-3001 -
Braddy, Natasha Ann
2812 Hartford Hwy Ste 1 , Dothan AL 36305-4927 -
Myers, Jennifer C
4921 Parkview Pl Dept Radiation Oncology, Ll, Saint Louis MO 63110-1032 -
Taylor, Melissa Ann
2020 Alexander Dr , Dothan AL 36301-3004