Pettyjohn, Eric Wayne

Pettyjohn, Eric Wayne is an individual health care provider with primary practice located at 1141 Patterson Ter , Lake Mary FL 32746-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Pettyjohn, Eric Wayne can be contacted via phone (844) 407-4070.

Contact Information

Primary practice address
1141 Patterson Ter Lake Mary FL 32746-2203
Phone: (844) 407-4070
Fax: (407) 743-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME156239 Florida

Profile Details

NPI number 1356846299
LBN Legal business name Pettyjohn, Eric Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2018
Last updated Aug 18th, 2022 - about 3 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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