Derstine, Nathan T.

Derstine, Nathan T. is an individual health care provider with primary practice located at 50 Eastern Ave Ste. 135, Greencastle PA 17225-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Derstine, Nathan T. can be contacted via phone (717) 597-3151.

Contact Information

Primary practice address
50 Eastern Ave Ste. 135 Greencastle PA 17225-1100
Phone: (717) 597-3151
Fax: (717) 597-8933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS012661 Pennsylvania

Profile Details

NPI number 1265411821
LBN Legal business name Derstine, Nathan T.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Feb 8th, 2023 - about 2 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 1265411821 NPPES
Pennsylvania MEDICAID 101432970000

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