Pettis, Alysha

Pettis, Alysha is an sole proprietor health care provider with primary practice located at 1829 Forest Glen Dr , Fruitland Park FL 34731-6565. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Pathology, which is considered as her primary health care specialty. Pettis, Alysha can be contacted via phone (352) 818-2485.

Contact Information

Primary practice address
1829 Forest Glen Dr Fruitland Park FL 34731-6565
Phone: (352) 818-2485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Pathology 246R00000X

Profile Details

NPI number 1942884846
LBN Legal business name Pettis, Alysha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2021
Last updated May 7th, 2021 - about 4 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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