Pettway, Samone

Pettway, Samone is an individual health care provider with primary practice located at 855 Lakewood Rd , Waterbury CT 06704-5408. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pettway, Samone can be contacted via phone (860) 793-3500.

Contact Information

Primary practice address
855 Lakewood Rd Waterbury CT 06704-5408
Phone: (860) 793-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 40373 Connecticut

Profile Details

NPI number 1144894478
LBN Legal business name Pettway, Samone
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2021
Last updated May 20th, 2021 - about 3 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 1144894478 NPPES
Connecticut Other 1231 N/A

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