Penny S Divita is a Pediatrics in Charleston, . Penny S Divita practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Penny S Divita is 1598744757. The last update date is 2011-06-23.
Penny S Divita's current location address is 830 Pennsylvania Ave, Charleston, . You can contact this provider via phone number 3043882709. The mailing address for Penny S Divita is 830 Pennsylvania Ave, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny S Divita |
|---|---|
| Address | 830 Pennsylvania Ave, Charleston, |
| Phone Number | 3043882709 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1598744757 |
|---|---|
| Provider Enumeration Date | 2006-01-16 |
| Last Updated Date | 2011-06-23 |
Provider Mailing Address Detail
| Address | 830 Pennsylvania Ave |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253023302 |
| Phone Number | 3043882709 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 1451 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1718046 | WV | BLUE CROSS BLUE SHIELD | |
| 46618000 | WV | -- | |
| 1040493 | WV | DWC |
Post Comment/ Review Below
What is the Penny S Divita's 1598744757?
The Penny S Divita's NPI (National Provider Identifier) Number is 1598744757. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Penny S Divita is physically located?
The Penny S Divita is physically situated at the following address: 830 Pennsylvania Ave, Charleston, WV, 253023302.
What is the Penny S Divita's specialty and taxonomy code?
The Penny S Divita's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Penny S Divita receive the assignment of its 1598744757 from the Centers for Medicare & Medicaid Services?
The Penny S Divita was issued its 1598744757 by the Centers for Medicare & Medicaid Services on 2006-01-16.
When was the information regarding Penny S Divita most recently updated?
The details pertaining to the Penny S Divita, including its address, specialty, and other relevant information, were last refreshed on 2011-06-23.