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Contact Information

DENISE M PETTIT, PA-C
101 MARCLEY DRIVE
MARTINSBURG, WV25401
 Phone: 304-263-8911
 Fax: 304-263-9450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DENISE M PETTIT · (Female)

NPI Number 1669497152
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/13/2006
Last updated 09/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MA052197
  • WV License # 01252
  • WV Other 9930421 MEDICARE GROUP NUMBER
Hospital affiliation(s)
  • CITY HOSPITAL - (Acute Care)
    2500 HOSPITAL DRIVE
    MARTINSBURG, WV 25401
  • WINCHESTER MEDICAL CENTER INC - (Acute Care)
    220 CAMPUS BLVD SUITE 210
    WINCHESTER, VA 22601
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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