Petty, Brett Elizabeth
Petty, Brett Elizabeth is an sole proprietor health care provider with primary practice located at 4797 Old Canoe Creek Rd , Saint Cloud FL 34769-1400. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Petty, Brett Elizabeth can be contacted via phone (407) 498-0222.Contact Information
Primary practice address
4797 Old Canoe Creek Rd
Saint Cloud FL 34769-1400
Phone: (407) 498-0222
Fax: (407) 892-0800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH8130 | Florida |
| Chiropractic Providers / Chiropractor | 111N00000X | 10926 | Texas |
Profile Details
| NPI number | 1861544835 |
|---|---|
| LBN Legal business name | Petty, Brett Elizabeth |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jun 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861544835 | NPPES |
| Florida | MEDICAID | 382281800 | |
| Florida | Other | 6941720 | |
| Florida | Other | 88167 | |
| Florida | Other | 653996 |
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