Pettis, Stephen J

Pettis, Stephen J is an sole proprietor health care provider with primary practice located at 12974 W Via Camille , El Mirage AZ 85335-5300. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Pettis, Stephen J can be contacted via phone (619) 379-8814.

Contact Information

Primary practice address
12974 W Via Camille El Mirage AZ 85335-5300
Phone: (619) 379-8814
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X ATR-009254 Arizona

Profile Details

NPI number 1871137455
LBN Legal business name Pettis, Stephen J
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2019
Last updated May 25th, 2022 - about 3 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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