Pettye, Wanda
Pettye, Wanda is an sole proprietor health care provider with primary practice located at 3618 Western Ave , Park Forest IL 60466-2126. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pettye, Wanda can be contacted via phone (708) 228-0999.Contact Information
Primary practice address
3618 Western Ave
Park Forest IL 60466-2126
Phone: (708) 228-0999
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 043071327 | Illinois |
Profile Details
NPI number | 1780998674 |
---|---|
LBN Legal business name | Pettye, Wanda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 3rd, 2010 |
Last updated | Aug 3rd, 2010 - about 14 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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