Consevage, Michael W

Consevage, Michael W is an individual health care provider with primary practice located at 1000 N Front St Pediatric Cardiology, Wormleysburg PA 17043-1034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Consevage, Michael W can be contacted via phone (717) 761-0200.

Contact Information

Primary practice address
1000 N Front St Pediatric Cardiology Wormleysburg PA 17043-1034
Phone: (717) 761-0200
Fax: (717) 761-0641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD042293L Pennsylvania

Profile Details

NPI number 1780685537
LBN Legal business name Consevage, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 24th, 2018 - about 6 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 1780685537 NPPES
Pennsylvania MEDICAID 001471500

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