Pettyjohn, Charissa Joy

Pettyjohn, Charissa Joy is an sole proprietor health care provider with primary practice located at 750 Washington St. , Boston MA 02111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Pettyjohn, Charissa Joy can be contacted via phone (617) 636-0265.

Contact Information

Primary practice address
750 Washington St. Boston MA 02111
Phone: (617) 636-0265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207VH0002X 225481 Massachusetts

Profile Details

NPI number 1861614711
LBN Legal business name Pettyjohn, Charissa Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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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