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Contact Information

JEAN PETTERSON, DO
2 TITUS PLACE
WALTON, NY13856
 Phone: 607-865-2400
 Fax: 607-865-7305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JEAN PETTERSON · (Female)

NPI Number 1760414544
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/06/2006
Last updated 10/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 9819
  • NH Medicaid 30009798
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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