Pettigrew, Howard David

Pettigrew, Howard David is an individual health care provider with primary practice located at 7471 N Fresno St , Fresno CA 93720-2457. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Pettigrew, Howard David can be contacted via phone (559) 436-4500.

Contact Information

Primary practice address
7471 N Fresno St Fresno CA 93720-2457
Phone: (559) 436-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A104136 California
Allopathic & Osteopathic Physicians / Allergy 207KA0200X A104136 California

Profile Details

NPI number 1891961835
LBN Legal business name Pettigrew, Howard David
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Jun 23rd, 2015 - about 11 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 1891961835 NPPES
California MEDICAID GR0043790
California Other ZZZ21572Z

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