Bevilacqua, Joann

Bevilacqua, Joann is an sole proprietor health care provider with primary practice located at 411 E Main St , Carnegie PA 15106-2048. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Bevilacqua, Joann can be contacted via phone (412) 279-3557.

Contact Information

Primary practice address
411 E Main St Carnegie PA 15106-2048
Phone: (412) 279-3557
Fax: (412) 279-4357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X SC-000653L Pennsylvania

Profile Details

NPI number 1558346403
LBN Legal business name Bevilacqua, Joann
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Nov 19th, 2009 - about 15 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 1558346403 NPPES
Pennsylvania MEDICAID 00504099

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