Enevoldson, Joshua K

Enevoldson, Joshua K is an individual health care provider with primary practice located at 431 N 21St St , Camp Hill PA 17011. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Enevoldson, Joshua K can be contacted via phone (717) 763-3730.

Contact Information

Primary practice address
431 N 21St St Camp Hill PA 17011
Phone: (717) 763-3730
Fax: (717) 763-3734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5149 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA060552 Pennsylvania

Profile Details

NPI number 1669734455
LBN Legal business name Enevoldson, Joshua K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Aug 28th, 2020 - about 5 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 1669734455 NPPES
Arizona MEDICAID 707901

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