Berry-Pettit, Carolyn L
Berry-Pettit, Carolyn L is an individual health care provider with primary practice located at 621 Broadway St , Portsmouth OH 45662-4788. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Berry-Pettit, Carolyn L can be contacted via phone (740) 961-4011.Contact Information
Primary practice address
621 Broadway St
Portsmouth OH 45662-4788
Phone: (740) 961-4011
Fax: (740) 961-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 364SW0102X | NS01128 | Ohio |
Profile Details
| NPI number | 1083669733 |
|---|---|
| LBN Legal business name | Berry-Pettit, Carolyn L |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Apr 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083669733 | NPPES |
| Ohio | MEDICAID | 0151259 |
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