Mark E Pettis in La Porte - Community Health Worker
Mark E Pettis - NPI 1982884524
Mark E Pettis is a Community Health Worker in La Porte, Indiana. Mark E Pettis practices all healthcare services and medical treatments related to Community Health Worker. The NPI Number for Mark E Pettis is 1982884524. The last update date is 2008-08-25.
Mark E Pettis's current location address is 203 Stanley Ct, La Porte, Indiana. You can contact this provider via phone number 2193622744. The mailing address for Mark E Pettis is 203 Stanley Ct, La Porte, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark E Pettis |
|---|---|
| Address | 203 Stanley Ct, La Porte, Indiana |
| Phone Number | 2193622744 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1982884524 |
|---|---|
| Provider Enumeration Date | 2007-11-12 |
| Last Updated Date | 2008-08-25 |
Provider Mailing Address Detail
| Address | 203 Stanley Ct |
|---|---|
| City | La Porte |
| State | Indiana (IN) |
| Post Code | 463504159 |
| Phone Number | 2193622744 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Health Worker |
|---|---|
| Taxonomy | 172V00000X |
| Licence No | 06003247A |
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Definition: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status a |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark E Pettis by the Centers for Medicare & Medicaid Services?
The Mark E Pettis has been issued the NPI (National Provider Identifier) 1982884524 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark E Pettis's facilities are situated?
The facilities of Mark E Pettis are physically located at the following address: 203 Stanley Ct, La Porte, IN, 463504159.
What is the area of specialization for Mark E Pettis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark E Pettis is Community Health Worker, and the corresponding taxonomy code that categorizes this area of expertise is 172V00000X.
When was the Mark E Pettis's 1982884524 issued?
The Mark E Pettis's 1982884524 was issued on 2007-11-12.
When was the information regarding Mark E Pettis most recently updated?
The details pertaining to the Mark E Pettis, including its address, specialty, and other relevant information, were last refreshed on 2008-08-25.
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