Pettis, Samuel R.
Pettis, Samuel R. is an individual health care provider with primary practice located at 742B Boylston Ave E , Seattle WA 98102-4619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Pettis, Samuel R. can be contacted via phone (000) 000-0000.Contact Information
Primary practice address
742B Boylston Ave E
Seattle WA 98102-4619
Phone: (000) 000-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD00017597 | Washington |
Profile Details
| NPI number | 1922061191 |
|---|---|
| LBN Legal business name | Pettis, Samuel R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Nov 26th, 2007 - about 17 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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