Petty, Barbara Irene

Petty, Barbara Irene is an sole proprietor health care provider with primary practice located at 27800 Medical Center Rd Suite 350, Mission Viejo CA 92691-6410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Petty, Barbara Irene can be contacted via phone (949) 364-2510.

Contact Information

Primary practice address
27800 Medical Center Rd Suite 350 Mission Viejo CA 92691-6410
Phone: (949) 364-2510
Fax: (949) 364-6515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A037470 California

Profile Details

NPI number 1598714255
LBN Legal business name Petty, Barbara Irene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1598714255 NPPES
California Other A037470 MEDICAL LICENSE NUMBER

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