Pettus, India

Pettus, India is an individual health care provider with primary practice located at 5530 Wisconsin Ave Suite 1660, Chevy Chase MD 20815-4404. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Pettus, India can be contacted via phone (301) 657-9876.

Contact Information

Primary practice address
5530 Wisconsin Ave Suite 1660 Chevy Chase MD 20815-4404
Phone: (301) 657-9876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0005125 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0005125 Maryland

Profile Details

NPI number 1306270533
LBN Legal business name Pettus, India
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2013
Last updated Jan 27th, 2023 - about 2 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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