Pettiford, Keith

Pettiford, Keith is an individual health care provider with primary practice located at 2713 Lancaster Ave , Wilmington DE 19805-5220. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Pettiford, Keith can be contacted via phone (302) 225-2500.

Contact Information

Primary practice address
2713 Lancaster Ave Wilmington DE 19805-5220
Phone: (302) 225-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Delaware

Profile Details

NPI number 1982120358
LBN Legal business name Pettiford, Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2017
Last updated Aug 17th, 2017 - about 8 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.

Request for update

Popular Providers