Perrotta, Charles

Perrotta, Charles is an sole proprietor health care provider with primary practice located at Presque Isle Mind-Body Wellness Center 2500 Palermo Dr. Suite 2, Erie PA 16506. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Perrotta, Charles can be contacted via phone (814) 860-3179.

Contact Information

Primary practice address
Presque Isle Mind-Body Wellness Center 2500 Palermo Dr. Suite 2 Erie PA 16506
Phone: (814) 860-3179
Fax: (814) 615-7400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD042761L Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD-042761-L Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD-042761-L Pennsylvania

Profile Details

NPI number 1639144165
LBN Legal business name Perrotta, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Nov 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639144165 NPPES
Pennsylvania MEDICAID 001937185

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