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Contact Information

CHERYL A PETTY, BA, RSST, QIDP
2140 E. ELLSWORTH RD.
ANN ARBOR, MI48108
 Phone: 734-222-3592
 Fax: 734-222-3461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for CHERYL A PETTY · (Female)

NPI Number 1922435783
Status Active
Credentials BA, RSST, QIDP
Entity Individual
Enumeration date 10/10/2013
Last updated 06/16/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6803085519
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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