Pettis, Ronald

Pettis, Ronald is an individual health care provider with primary practice located at 87 Washington St , Rensselaer NY 12144-2613. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Pettis, Ronald can be contacted via phone (518) 449-1142.

Contact Information

Primary practice address
87 Washington St Rensselaer NY 12144-2613
Phone: (518) 449-1142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 175427 New York

Profile Details

NPI number 1720236185
LBN Legal business name Pettis, Ronald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated Aug 28th, 2008 - about 16 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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