Pettit, Ross E.

Pettit, Ross E. is an sole proprietor health care provider with primary practice located at 1233 34Th St Nw , Bemidji MN 56601-5112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Pettit, Ross E. can be contacted via phone (218) 333-4968.

Contact Information

Primary practice address
1233 34Th St Nw Bemidji MN 56601-5112
Phone: (218) 333-4968
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 4231 North Dakota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 51426 Minnesota

Profile Details

NPI number 1942371752
LBN Legal business name Pettit, Ross E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Nov 18th, 2011 - about 13 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 1942371752 NPPES
Minnesota MEDICAID 1942371752

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