Pettavel, Paul Pierre

Pettavel, Paul Pierre is an individual health care provider with primary practice located at 1500 Sw 10Th Ave , Topeka KS 66604-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pettavel, Paul Pierre can be contacted via phone (785) 354-6963.

Contact Information

Primary practice address
1500 Sw 10Th Ave Topeka KS 66604-1301
Phone: (785) 354-6963
Fax: (785) 354-5241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0427482 Kansas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2010023565 Missouri

Profile Details

NPI number 1568422517
LBN Legal business name Pettavel, Paul Pierre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 6th, 2010 - 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 1568422517 NPPES
Kansas Other 053427 BCBS
Kansas MEDICAID 100317860A BCBS

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