Healthcare Provider Details

I. General information

NPI: 1609297209
Provider Name (Legal Business Name): VETTED INTERNATIONAL, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2013
Last Update Date: 12/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6880 PERRY CREEK ROAD
RALEIGH NC
27616
US

IV. Provider business mailing address

6880 PERRY CREEK ROAD
RALEIGH NC
27616
US

V. Phone/Fax

Practice location:
  • Phone: 919-518-9200
  • Fax: 919-871-6000
Mailing address:
  • Phone: 919-518-9200
  • Fax: 919-871-6000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN CARL SJOSTEDT
Title or Position: CEO
Credential:
Phone: 919-518-9200