Pettus, Jerry
Pettus, Jerry is an individual health care provider with primary practice located at 444 Four States Dr. Ste 1, Galena KS 66739-4325. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Pettus, Jerry can be contacted via phone (620) 783-4441.Contact Information
Primary practice address
444 Four States Dr. Ste 1
Galena KS 66739-4325
Phone: (620) 783-4441
Fax: (620) 783-4090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1403135 | Kansas |
Profile Details
| NPI number | 1427591205 |
|---|---|
| LBN Legal business name | Pettus, Jerry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2016 |
| Last updated | Nov 28th, 2016 - about 9 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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