Jason R Pettus in Lebanon - Student In An Organized Health Care Education/training Program
Jason R Pettus - NPI 1841464120
Jason R Pettus is a Student In An Organized Health Care Education/training Program in Lebanon, New Hampshire. Jason R Pettus practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. 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 |
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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 |
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Provider Enumeration Date | 2008-04-17 |
Last Updated Date | 2013-09-09 |
Provider Mailing Address Detail
Address | One Medical Center Dr |
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City | Lebanon |
State | New Hampshire (NH) |
Post Code | 37561000 |
Phone Number | 6036505000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Student In An Organized Health Care Education/training Program |
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Taxonomy | 390200000X |
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1021925 | VT | -- | |
3086997 | NH | -- |
Post Comment/ Review Below
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 Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of expertise is 390200000X.
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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