Petty, Fred H

Petty, Fred H is an individual health care provider with primary practice located at 5231 Brittany Dr , Baton Rouge LA 70808-9143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Petty, Fred H can be contacted via phone (225) 769-0933.

Contact Information

Primary practice address
5231 Brittany Dr Baton Rouge LA 70808-9143
Phone: (225) 769-0933
Fax: (225) 769-6255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 020165 Louisiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 020165 Louisiana

Profile Details

NPI number 1841291333
LBN Legal business name Petty, Fred H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 27th, 2018 - about 6 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 1841291333 NPPES
Louisiana MEDICAID 1902586

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