Petty, Carl Eugene

Petty, Carl Eugene is an sole proprietor health care provider with primary practice located at 2962 Elm Tree Ct , Spring Valley CA 91978-1965. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Petty, Carl Eugene can be contacted via phone (619) 200-9105.

Contact Information

Primary practice address
2962 Elm Tree Ct Spring Valley CA 91978-1965
Phone: (619) 200-9105
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1366144941
LBN Legal business name Petty, Carl Eugene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2023
Last updated Mar 20th, 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.

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