Petrisin, Katie Marie

Petrisin, Katie Marie is an individual health care provider with primary practice located at 177 Middletown Rd Suite #2, Fairmont WV 26554-8254. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Petrisin, Katie Marie can be contacted via phone (304) 368-9355.

Contact Information

Primary practice address
177 Middletown Rd Suite #2 Fairmont WV 26554-8254
Phone: (304) 368-9355
Fax: (304) 368-5422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP0008090 West Virginia
Pharmacy Service Providers / Pharmacist 183500000X RP449389 Pennsylvania

Profile Details

NPI number 1629526553
LBN Legal business name Petrisin, Katie Marie
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2016
Last updated Sep 20th, 2016 - about 8 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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