Ms. Jennifer Divita
D.O. | Pediatrics | Female
Ms. Jennifer Divita, D.O. is a Charleston, West Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ms. Jennifer Divita is
830 Pennsylvania Ave, Ste 200, Charleston, West Virginia - 25302-3302. She can be contacted on phone at
304-388-2709 and fax number 304-344-1755.
Ms. Jennifer Divita is a sole proprietor of her business.
NPI number (Unique professional ID) for Ms. Jennifer Divita is
1063646529 which was assigned by NPPES on 12 May, 2009 and it was last updated on 19 Feb, 2013.
Ms. Jennifer Divita license number is
2474 for Pediatrics (208000000X) in West Virginia.
Ms. Jennifer Divita is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ms. Jennifer Divita basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ms. Jennifer Divita |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Ms. Jennifer Divita address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 830 Pennsylvania Ave, Ste 200
Charleston, WV, 25302-3302
United States |
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| Phone Number : | 304-388-2709 |
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| Fax Number : | 304-344-1755 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063646529 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 May, 2009 |
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| Last Updated On : | 19 Feb, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Jennifer Divita are as mentioned. Primary taxonomy code for Ms. Jennifer Divita, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | 2474 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Ms. Jennifer Divita such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3810023323 | MEDICAID | WV | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 830 Pennsylvania Ave, Ste. 200
Charleston, WV, 25302-3302
United States |
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| Phone Number : | 304-388-2709 |
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| Fax Number : | 304-344-1755 |
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Business Location:
Patients can refer following map for directions to
Ms. Jennifer Divita practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.