Jetti, Krishna P

Jetti, Krishna P is an sole proprietor health care provider with primary practice located at 12279 Route 30 Ste 200, North Huntingdon PA 15642-1849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jetti, Krishna P can be contacted via phone (724) 864-4470.

Contact Information

Primary practice address
12279 Route 30 Ste 200 North Huntingdon PA 15642-1849
Phone: (724) 864-4470
Fax: (724) 863-7120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD038024L Pennsylvania

Profile Details

NPI number 1740297399
LBN Legal business name Jetti, Krishna P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Feb 14th, 2013 - about 13 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 1740297399 NPPES
Pennsylvania Other JE55077 BS
Pennsylvania Other 100159 BS
Pennsylvania MEDICAID 0009633780001 BS

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