Pettit, James C

Pettit, James C is an sole proprietor health care provider with primary practice located at 1700 Brazos Ave , Rockdale TX 76567-2517. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pettit, James C can be contacted via phone (512) 446-4500.

Contact Information

Primary practice address
1700 Brazos Ave Rockdale TX 76567-2517
Phone: (512) 446-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F9947 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X F9947 Texas

Profile Details

NPI number 1265450175
LBN Legal business name Pettit, James C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jun 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265450175 NPPES
Texas Other 8U8772 BCBS
Texas MEDICAID 140233137 BCBS
Texas MEDICAID 140233138 BCBS

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