Waymond Jay Pettit in La Porte - Otolaryngology
Waymond Jay Pettit - NPI 1679720726
Waymond Jay Pettit is a Otolaryngology in La Porte, Indiana. Waymond Jay Pettit practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Waymond Jay Pettit is 1679720726. The last update date is 2008-08-20.
Waymond Jay Pettit's current location address is 451 E 1000 N, La Porte, Indiana. You can contact this provider via phone number 2197788524 and fax number 2197788534. The mailing address for Waymond Jay Pettit is 451 E 1000 N, La Porte, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Waymond Jay Pettit |
|---|---|
| Address | 451 E 1000 N, La Porte, Indiana |
| Phone Number | 2197788524 |
| Fax Number | 2197788534 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679720726 |
|---|---|
| Provider Enumeration Date | 2008-08-20 |
| Last Updated Date | 2008-08-20 |
Provider Mailing Address Detail
| Address | 451 E 1000 N |
|---|---|
| City | La Porte |
| State | Indiana (IN) |
| Post Code | 463508638 |
| Phone Number | 2197788524 |
| Fax Number | 2197788534 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 36051290 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the unique identifier code issued to Waymond Jay Pettit by the Centers for Medicare & Medicaid Services?
The Waymond Jay Pettit has been assigned the NPI (National Provider Identifier) 1679720726. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Waymond Jay Pettit is geographically located?
The Waymond Jay Pettit is physically situated at the following location: 451 E 1000 N, La Porte, IN, 463508638.
What is the Waymond Jay Pettit's specialty and taxonomy code?
The Waymond Jay Pettit's specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.
On what date did Waymond Jay Pettit receive its 1679720726 assignment from the Centers for Medicare & Medicaid Services?
The Waymond Jay Pettit was assigned its 1679720726 on 2008-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Waymond Jay Pettit's details last updated?
The information pertaining to the Waymond Jay Pettit, including its address, specialty, and other details, was most recently updated on 2008-08-20.