Pettinelli, James Douglas

Pettinelli, James Douglas is an sole proprietor health care provider with primary practice located at 4500 W Pine Blvd , Saint Louis MO 63108-2186. He recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as his primary health care specialty. Pettinelli, James Douglas can be contacted via phone (314) 361-5983.

Contact Information

Primary practice address
4500 W Pine Blvd Saint Louis MO 63108-2186
Phone: (314) 361-5983
Fax: (314) 977-2614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X 0905 Missouri

Profile Details

NPI number 1538311865
LBN Legal business name Pettinelli, James Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2008
Last updated Oct 17th, 2008 - about 18 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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