Jason R Pettus in Lebanon - Anatomic Pathology & Clinical Pathology

Jason R Pettus - NPI 1841464120

Jason R Pettus is a Anatomic Pathology & Clinical Pathology in Lebanon, New Hampshire. Jason R Pettus practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Jason R Pettus is 1841464120. The last update date is 2013-09-09.

Jason R Pettus's current location address is One Medical Center Dr, Lebanon, New Hampshire. You can contact this provider via phone number 6036505000. The mailing address for Jason R Pettus is One Medical Center Dr, Lebanon, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason R Pettus
Address One Medical Center Dr, Lebanon, New Hampshire
Phone Number 6036505000
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1841464120
Provider Enumeration Date 2008-04-17
Last Updated Date 2013-09-09

Provider Mailing Address Detail

Address One Medical Center Dr
City Lebanon
State New Hampshire (NH)
Post Code 37561000
Phone Number 6036505000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Licence No 250580
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1021925 VT --
3086997 NH --

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FAQs about Jason R Pettus

What is the unique provider identifier assigned to Jason R Pettus?

The Jason R Pettus has been issued the NPI (National Provider Identifier) 1841464120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jason R Pettus?

The Jason R Pettus is physically situated at One Medical Center Dr, in the city of Lebanon, state of NH, with the postal code 37561000.

What is the area of specialization for Jason R Pettus, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jason R Pettus is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code that categorizes this area of expertise is 207Zp0102X.

When did Jason R Pettus receive its 1841464120 assignment?

The Jason R Pettus was assigned its 1841464120 on 2008-04-17, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Jason R Pettus most recently updated or revised?

The information pertaining to Jason R Pettus, including its address, specialty, and other relevant details, was last updated or revised on 2013-09-09.

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