Pitts, Niesha Gwendolyn

Pitts, Niesha Gwendolyn is an sole proprietor health care provider with primary practice located at 8400 Bustleton Ave Ste 6 , Philadelphia PA 19152-1918. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Pitts, Niesha Gwendolyn can be contacted via phone (215) 728-4930.

Contact Information

Primary practice address
8400 Bustleton Ave Ste 6 Philadelphia PA 19152-1918
Phone: (215) 728-4930
Fax: (215) 728-4980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1285145722
LBN Legal business name Pitts, Niesha Gwendolyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2017
Last updated Aug 31st, 2021 - about 3 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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