Pitta, Jeffrey M

Pitta, Jeffrey M is an individual health care provider with primary practice located at 2700 Wayne Memorial Dr Emergency Dept, Goldsboro NC 27534-9494. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Pitta, Jeffrey M can be contacted via phone (919) 731-6060.

Contact Information

Primary practice address
2700 Wayne Memorial Dr Emergency Dept Goldsboro NC 27534-9494
Fax: (919) 580-9224
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 102680 North Carolina

Profile Details

NPI number 1124017751
LBN Legal business name Pitta, Jeffrey M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Mar 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124017751 NPPES
North Carolina Other MEDICAL LICENSE 102551

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