Pettaway, James

Pettaway, James is an sole proprietor health care provider with primary practice located at 7338 Brockton Rd , Philadelphia PA 19151-2238. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Pettaway, James can be contacted via phone (267) 934-0368.

Contact Information

Primary practice address
7338 Brockton Rd Philadelphia PA 19151-2238
Phone: (267) 934-0368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1841745015
LBN Legal business name Pettaway, James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2016
Last updated Aug 17th, 2016 - about 10 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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