Pettit, Denise Marie
Pettit, Denise Marie is an individual health care provider with primary practice located at 101 Marcley Drive , Martinsburg WV 25401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Pettit, Denise Marie can be contacted via phone (304) 263-8911.Contact Information
Primary practice address
101 Marcley Drive
Martinsburg WV 25401
Phone: (304) 263-8911
Fax: (304) 263-9450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA052197 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 01252 | West Virginia |
Profile Details
| NPI number | 1669497152 |
|---|---|
| LBN Legal business name | Pettit, Denise Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Sep 23rd, 2021 - about 4 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 | 1669497152 | NPPES |
| West Virginia | Other | 9930421 | MEDICARE GROUP NUMBER |
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