Pettis, Heather M

Pettis, Heather M is an individual health care provider with primary practice located at 200 Medical Park Blvd Emergency Department, Petersburg VA 23805-9274. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Pettis, Heather M can be contacted via phone (804) 765-5529.

Contact Information

Primary practice address
200 Medical Park Blvd Emergency Department Petersburg VA 23805-9274
Phone: (804) 765-5529
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101249421 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A108901 California

Profile Details

NPI number 1689825879
LBN Legal business name Pettis, Heather M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2008
Last updated Jul 1st, 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.

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