Pettus, Jason Paul
Pettus, Jason Paul is an sole proprietor health care provider with primary practice located at 16 Whispering Oak Dr , Mabelvale AR 72103-2065. He recently has 2 registered licenses in different health care specialties including Suppliers / Home Delivered Meals, Other Service Providers / Driver. Other Service Providers / Driver is his primary health care specialty. Pettus, Jason Paul can be contacted via phone (501) 400-5306.Contact Information
Primary practice address
16 Whispering Oak Dr
Mabelvale AR 72103-2065
Phone: (501) 400-5306
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Home Delivered Meals | 332U00000X | Arkansas | |
| Other Service Providers / Driver | 172A00000X | 942803758 | Arkansas |
Profile Details
| NPI number | 1558056481 |
|---|---|
| LBN Legal business name | Pettus, Jason Paul |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2023 |
| Last updated | Apr 6th, 2023 - 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.
Popular Providers
-
Mcdonald, William H.
323 Paul Bryant Dr. Box 870323, Tuscaloosa AL 35487-0001 -
Auteri, Joseph S.
311 N Clyde Morris Blvd , Daytona Beach FL 32114-2781 -
Junearick, Joan Lashall
813 Varsity Dr , Tupelo MS 38801-4703 -
Campbell, Bari
697 Pro-Med Ln , Carmel IN 46032-5323 -
Martinez, Shirley Medina
1517 Saratoga Dr , Alpharetta GA 30022-2887 -
Leachman, Kevin
697 Pro-Med Ln , Carmel IN 46032-5323 -
De La Rosa, Juan Angel
Urb. Camino Del Sol 420 Camino Real, Vega Baja PR 00693-4177 -
Williams, Casara Nichole
7922 Olive Hill Dr , Mabelvale AR 72103-3847