Anita Petitte in Kettering - Physician Assistant

Anita Petitte - NPI 1790986875

Anita Petitte is a Physician Assistant in Kettering, Ohio. Anita Petitte practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Anita Petitte is 1790986875. The last update date is 2008-11-13.

Anita Petitte's current location address is 4750 Hempstead Station Dr, Kettering, Ohio. You can contact this provider via phone number 8008750136. The mailing address for Anita Petitte is 4750 Hempstead Station Dr, Kettering, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Anita Petitte
Address 4750 Hempstead Station Dr, Kettering, Ohio
Phone Number 8008750136
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1790986875
Provider Enumeration Date 2007-05-29
Last Updated Date 2008-11-13

Provider Mailing Address Detail

Address 4750 Hempstead Station Dr
City Kettering
State Ohio (OH)
Post Code 454295164
Phone Number 8008750136
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 844
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1065295 WV WV DWC
1796236 WV BLUE CROSS BLUE SHIELD

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FAQs about Anita Petitte

What is the unique 10-digit identification code issued to Anita Petitte by the Centers for Medicare & Medicaid Services?

The Anita Petitte has been assigned the NPI (National Provider Identifier) 1790986875 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Anita Petitte is physically located?

The Anita Petitte is situated at the following address: 4750 Hempstead Station Dr, Kettering, OH 454295164.

What is Anita Petitte's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Anita Petitte is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790986875 to Anita Petitte?

The Centers for Medicare & Medicaid Services assigned the 1790986875 to Anita Petitte on 2007-05-29.

As of what date were the Anita Petitte's details last updated?

The information pertaining to the Anita Petitte, including its address, specialty, and other details, was most recently updated on 2008-11-13.

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