Pettitt, Timothy William
Pettitt, Timothy William is an individual health care provider with primary practice located at 200 Henry Clay Ave , New Orleans LA 70118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Pettitt, Timothy William can be contacted via phone (504) 896-9868.Contact Information
Primary practice address
200 Henry Clay Ave
New Orleans LA 70118
Phone: (504) 896-9868
Fax: (504) 896-9410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 13143R | Louisiana |
Profile Details
| NPI number | 1144322421 |
|---|---|
| LBN Legal business name | Pettitt, Timothy William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144322421 | NPPES |
| Louisiana | MEDICAID | 1558010 |
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