Pettit, Carolyn K

Pettit, Carolyn K is an individual health care provider with primary practice located at 9003 E Shea Blvd Department Of Pathology, Scottsdale AZ 85260-6709. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Pettit, Carolyn K can be contacted via phone (480) 323-3383.

Contact Information

Primary practice address
9003 E Shea Blvd Department Of Pathology Scottsdale AZ 85260-6709
Phone: (480) 323-3383
Fax: (480) 323-3358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 20042 Arizona

Profile Details

NPI number 1063489474
LBN Legal business name Pettit, Carolyn K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Oct 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063489474 NPPES
Arizona MEDICAID 187056

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