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Contact Information

CHARLES PERROTTA JR, MD
PRESQUE ISLE MIND-BODY WELLNESS CENTER
2500 PALERMO DR. SUITE 2
ERIE, PA16506
 Phone: 814-860-3179
 Fax: 814-615-7400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CHARLES PERROTTA JR · (Male)

NPI # 1639144165
Status Active
Credentials MD
Entity Individual
Enumeration date 02/20/2006
Last updated 11/08/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD-042761-L
  • PA License # MD042761L
  • PA Medicaid 001937185
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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