Pettit, Christine

Pettit, Christine is an sole proprietor health care provider with primary practice located at 45 Ashley Ave , Middletown NY 10940-1912. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Pettit, Christine can be contacted via phone (845) 326-8045.

Contact Information

Primary practice address
45 Ashley Ave Middletown NY 10940-1912
Phone: (845) 326-8045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401177 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4417 South Carolina

Profile Details

NPI number 1932352143
LBN Legal business name Pettit, Christine
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2008
Last updated Aug 23rd, 2011 - about 13 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 1932352143 NPPES
South Carolina Other AA63393334 MEDICARE PTAN
South Carolina MEDICAID 1760596480 MEDICARE PTAN

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