Pettus, Sonja
Pettus, Sonja is an individual health care provider with primary practice located at 1450 Jones Dairy Rd Bldg 700, Jasper AL 35501-6106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pettus, Sonja can be contacted via phone (205) 295-4200.Contact Information
Primary practice address
1450 Jones Dairy Rd Bldg 700
Jasper AL 35501-6106
Phone: (205) 295-4200
Fax: (205) 295-4201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27916 | Alabama |
Profile Details
| NPI number | 1184769424 |
|---|---|
| LBN Legal business name | Pettus, Sonja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Sep 28th, 2007 - about 18 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 | 1184769424 | NPPES |
| Alabama | MEDICAID | 009943063 |
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