Pettker, Christian Michael

Pettker, Christian Michael is an individual health care provider with primary practice located at 20 York St Ynhh East Pavilion - 4Th Floor, New Haven CT 06510-3220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Pettker, Christian Michael can be contacted via phone (203) 785-5682.

Contact Information

Primary practice address
20 York St Ynhh East Pavilion - 4Th Floor New Haven CT 06510-3220
Phone: (203) 785-5682
Fax: (203) 785-3419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 42315 Connecticut

Profile Details

NPI number 1457334542
LBN Legal business name Pettker, Christian Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Feb 17th, 2020 - about 4 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 1457334542 NPPES
Connecticut MEDICAID 001423158

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