Evancho, Charles David

Evancho, Charles David is an individual health care provider with primary practice located at 100 Corporate Center Dr Ste 100 , Camp Hill PA 17011-1758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Evancho, Charles David can be contacted via phone (717) 763-1174.

Contact Information

Primary practice address
100 Corporate Center Dr Ste 100 Camp Hill PA 17011-1758
Phone: (717) 763-1174
Fax: (717) 763-8960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD037208E Pennsylvania

Profile Details

NPI number 1932194644
LBN Legal business name Evancho, Charles David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 23rd, 2021 - about 4 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 1932194644 NPPES
Pennsylvania Other 220017922 RR MEDICARE
Pennsylvania MEDICAID 0010811750006 RR MEDICARE

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