Provider Demographics
NPI:1528166618
Name:BELLOT, CHARMAINE GERALDINE (PA)
Entity type:Individual
Prefix:MISS
First Name:CHARMAINE
Middle Name:GERALDINE
Last Name:BELLOT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9048 SUGAR EST
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-3634
Mailing Address - Country:US
Mailing Address - Phone:340-776-8311
Mailing Address - Fax:
Practice Address - Street 1:9048 SUGAR EST
Practice Address - Street 2:ROY L SCHNEIDER HOSPITAL
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-3634
Practice Address - Country:US
Practice Address - Phone:340-776-8311
Practice Address - Fax:340-714-6322
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI005363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI239782300000013OtherPHYSICIAN ASSISTANT