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NPI Code Detail

MEDICARE: JAMES & CHAROLETTE ENTERPRISES INC.

MEDICARE: JAMES & CHAROLETTE ENTERPRISES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103T00000XPsychologist
31041C0700XClinical Social Worker
4163WP0808XPsychiatric/Mental Health Registered Nurse
52084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1669514OTHERPAKEYSTONE HEALTH PLAN WEST
27771371OTHERPAAETNA
31528183OTHERPACBHNP
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5A895014OTHERPAVALUE OPTIONS

General Provider Information

NPI Number : 1376654053
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES & CHAROLETTE ENTERPRISES INC.
Provider Business Mailing Address
First Line : 160 SOUTHERN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15211-1910
Country : US
Telephone Number : 412-431-0711
Fax Number : 412-431-0732
Provider Business Practice Location Address
First Line : 160 SOUTHERN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15211-1910
Country : US
Telephone Number : 412-431-0711
Fax Number : 412-431-0732
Authorized Official
Title or Position : ADMINISTRATIVE SUPERVISOR
Name : SARAH CHESLEIGH
Credential :
Telephone Number : 412-431-0711
Provider Enumeration Date : 08/31/2006
Last Update Date : 12/22/2010

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Directions to “JAMES & CHAROLETTE ENTERPRISES INC. ” Practice Location

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