Pichardo-Geisinger, Rita O
Pichardo-Geisinger, Rita O is an individual health care provider with primary practice located at 4618 Country Club Rd , Winston Salem NC 27104-3520. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Pichardo-Geisinger, Rita O can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
4618 Country Club Rd
Winston Salem NC 27104-3520
Phone: (336) 716-2255
Fax: (336) 716-9258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 200500140 | North Carolina |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 200500140 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 200500140 | North Carolina |
Profile Details
| NPI number | 1255316311 |
|---|---|
| LBN Legal business name | Pichardo-Geisinger, Rita O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Oct 21st, 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 | 1255316311 | NPPES |
| North Carolina | MEDICAID | 5900562 | |
| North Carolina | Other | P00300131 | |
| North Carolina | Other | 805575 | |
| North Carolina | MEDICAID | 10157838 | |
| North Carolina | Other | 1381X | |
| North Carolina | MEDICAID | 3810001902 | |
| North Carolina | Other | 7214646 | |
| North Carolina | Other | E0803 |
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