Stites, Petrina Marie
Stites, Petrina Marie is an individual health care provider with primary practice located at 2501 Capehart Rd Ehrling Bergquist Clinic Usaf, Offutt A F B NE 68113-1043. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Stites, Petrina Marie can be contacted via phone (402) 294-7358.Contact Information
Primary practice address
2501 Capehart Rd Ehrling Bergquist Clinic Usaf
Offutt A F B NE 68113-1043
Phone: (402) 294-7358
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 12511 | Nebraska |
Profile Details
NPI number | 1396984738 |
---|---|
LBN Legal business name | Stites, Petrina Marie |
Credentials | PHARM D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2009 |
Last updated | Feb 9th, 2009 - about 15 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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