Pettit, David
Pettit, David is an sole proprietor health care provider with primary practice located at 200 Ne 20Th Ave Ste 100 , Portland OR 97232-3094. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Pettit, David can be contacted via phone (503) 230-0207.Contact Information
Primary practice address
200 Ne 20Th Ave Ste 100
Portland OR 97232-3094
Phone: (503) 230-0207
Fax: (503) 230-0208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X |
Profile Details
| NPI number | 1124620802 |
|---|---|
| LBN Legal business name | Pettit, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2020 |
| Last updated | Nov 9th, 2020 - about 4 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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