Pittard, Jesse Calvin

Pittard, Jesse Calvin is an individual health care provider with primary practice located at 410 Canterbury Rd , Smithfield NC 27577-4861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pittard, Jesse Calvin can be contacted via phone (919) 934-5149.

Contact Information

Primary practice address
410 Canterbury Rd Smithfield NC 27577-4861
Phone: (919) 934-5149
Fax: (919) 934-5632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21845 North Carolina

Profile Details

NPI number 1245332147
LBN Legal business name Pittard, Jesse Calvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Aug 13th, 2008 - about 16 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 1245332147 NPPES
North Carolina Other 080063191 RAILROAD MEDICARE
North Carolina MEDICAID 8967836 RAILROAD MEDICARE

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