Petty, John G
Petty, John G is an sole proprietor health care provider with primary practice located at 2423 E Main Ste 4, Cortez CO 81321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Petty, John G can be contacted via phone (970) 565-8809.Contact Information
Primary practice address
2423 E Main Ste 4
Cortez CO 81321
Phone: (970) 565-8809
Fax: (970) 565-8881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 35259 | Colorado |
Profile Details
| NPI number | 1881665263 |
|---|---|
| LBN Legal business name | Petty, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Oct 16th, 2007 - about 18 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 | 1881665263 | NPPES |
| Colorado | MEDICAID | 01352590 |
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