Pittsford, Cheryl D

Pittsford, Cheryl D is an individual health care provider with primary practice located at 2920 S Mcintire Dr Suite 350, Bloomington IN 47403-4221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pittsford, Cheryl D can be contacted via phone (812) 353-3277.

Contact Information

Primary practice address
2920 S Mcintire Dr Suite 350 Bloomington IN 47403-4221
Phone: (812) 353-3277
Fax: (812) 339-2934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000443A Indiana

Profile Details

NPI number 1205834546
LBN Legal business name Pittsford, Cheryl D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Sep 26th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205834546 NPPES
Indiana Other 090540091 MEDICARE PTAN
Indiana MEDICAID 300009928 MEDICARE PTAN

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