Enoch, Walettra Charmese
Enoch, Walettra Charmese is an individual health care provider with primary practice located at 602 E Baltimore Pike , Media PA 19063-1735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Enoch, Walettra Charmese can be contacted via phone (215) 397-7104.Contact Information
Primary practice address
602 E Baltimore Pike
Media PA 19063-1735
Phone: (215) 397-7104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | SP019360 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | LP0010478 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 310872 | New York |
Profile Details
| NPI number | 1669941027 |
|---|---|
| LBN Legal business name | Enoch, Walettra Charmese |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2018 |
| Last updated | Sep 23rd, 2022 - about 3 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 | 1669941027 | NPPES |
| Pennsylvania | MEDICAID | 1912199415 |
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