Coston, Eric Donald

Coston, Eric Donald is an individual health care provider with primary practice located at One Park Way , Seneca PA 16346-0802. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Coston, Eric Donald can be contacted via phone (814) 676-5444.

Contact Information

Primary practice address
One Park Way Seneca PA 16346-0802
Phone: (814) 676-5444
Fax: (814) 676-0342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OA000770 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA001759-L Pennsylvania

Profile Details

NPI number 1548400658
LBN Legal business name Coston, Eric Donald
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2009
Last updated Jul 19th, 2011 - about 13 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 1548400658 NPPES
Pennsylvania Other MA001759L STATE LICENSE

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