Pettit, Maria
Pettit, Maria is an sole proprietor health care provider with primary practice located at 10590 Enduring Freedom Dr , Fort Drum NY 13602-5005. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Pettit, Maria can be contacted via phone (315) 772-5576.Contact Information
Primary practice address
10590 Enduring Freedom Dr
Fort Drum NY 13602-5005
Phone: (315) 772-5576
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 018023-1 | New York |
Profile Details
| NPI number | 1467865584 |
|---|---|
| LBN Legal business name | Pettit, Maria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2014 |
| Last updated | Jul 25th, 2016 - about 9 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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