Pettrone, Kristen Aimee
Pettrone, Kristen Aimee is an individual health care provider with primary practice located at 2500 Hospital Drive , Martinsburg WV 25402-1150. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Pettrone, Kristen Aimee can be contacted via phone (304) 264-1000.Contact Information
Primary practice address
2500 Hospital Drive
Martinsburg WV 25402-1150
Phone: (304) 264-1000
Fax: (304) 264-1374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 22745 | West Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2003-00680 | North Carolina |
Profile Details
| NPI number | 1760490916 |
|---|---|
| LBN Legal business name | Pettrone, Kristen Aimee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Mar 30th, 2010 - about 15 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 | 1760490916 | NPPES |
| South Carolina | MEDICAID | N00685 | |
| South Carolina | MEDICAID | 89135JU |
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