Petty, Clare Ruth
Petty, Clare Ruth is an sole proprietor health care provider with primary practice located at 300 E 8Th St Ste 121 , Marietta OH 45750-3379. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Petty, Clare Ruth can be contacted via phone (740) 374-7464.Contact Information
Primary practice address
300 E 8Th St Ste 121
Marietta OH 45750-3379
Phone: (740) 374-7464
Fax: (740) 374-1562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 46395 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.10940.NP | Ohio |
Profile Details
| NPI number | 1366622185 |
|---|---|
| LBN Legal business name | Petty, Clare Ruth |
| Credentials | APRN, BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Aug 19th, 2020 - about 5 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 | 1366622185 | NPPES |
| West Virginia | MEDICAID | 3810011172 | |
| West Virginia | MEDICAID | 2953399 |
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