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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083669733 NPPES
Ohio MEDICAID 0151259

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