Pettit, Richard K

Pettit, Richard K is an sole proprietor health care provider with primary practice located at 1150 N Indian Canyon Dr , Palm Springs CA 92262-4872. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Pettit, Richard K can be contacted via phone (760) 323-6511.

Contact Information

Primary practice address
1150 N Indian Canyon Dr Palm Springs CA 92262-4872
Phone: (760) 323-6511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 438088 California

Profile Details

NPI number 1255431839
LBN Legal business name Pettit, Richard K
Credentials RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1255431839 NPPES
California Other 438088 REGISTERED NURSE LICENSE

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