Pettit, James Jarrett

Pettit, James Jarrett is an individual health care provider with primary practice located at 2930 Chesterfield Ave , Charleston WV 25304-1125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pettit, James Jarrett can be contacted via phone (304) 343-9923.

Contact Information

Primary practice address
2930 Chesterfield Ave Charleston WV 25304-1125
Fax: (304) 343-9925
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15412 West Virginia

Profile Details

NPI number 1316900749
LBN Legal business name Pettit, James Jarrett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Sep 20th, 2019 - about 5 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 1316900749 NPPES
West Virginia MEDICAID 0071519000

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