Pettit, John Derrick

Pettit, John Derrick is an sole proprietor health care provider with primary practice located at 6800 Nw 39Th Ave. Lot 486 , Coconut Creek FL 33073. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Pettit, John Derrick can be contacted via phone (740) 205-7315.

Contact Information

Primary practice address
6800 Nw 39Th Ave. Lot 486 Coconut Creek FL 33073
Phone: (740) 205-7315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X SV743461 Ohio

Profile Details

NPI number 1164732715
LBN Legal business name Pettit, John Derrick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2010
Last updated Oct 18th, 2010 - about 14 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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