Petterson, Kurt
Petterson, Kurt is an sole proprietor health care provider with primary practice located at 533 Brookdale Dr , Statesville NC 28677-4107. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Petterson, Kurt can be contacted via phone (704) 872-2028.Contact Information
Primary practice address
533 Brookdale Dr
Statesville NC 28677-4107
Phone: (704) 872-2028
Fax: (704) 872-3390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 134 | North Carolina |
Profile Details
| NPI number | 1801894860 |
|---|---|
| LBN Legal business name | Petterson, Kurt |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Dec 10th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801894860 | NPPES |
| North Carolina | MEDICAID | 8908136 |
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