Haskins, Bethany A

Haskins, Bethany A is an individual health care provider with primary practice located at 1322 Eisenhower Blvd , Johnstown PA 15904-3307. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Haskins, Bethany A can be contacted via phone (814) 536-8969.

Contact Information

Primary practice address
1322 Eisenhower Blvd Johnstown PA 15904-3307
Phone: (814) 536-8969
Fax: (814) 536-7180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA052224 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA052224 Pennsylvania

Profile Details

NPI number 1609937507
LBN Legal business name Haskins, Bethany A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jun 20th, 2019 - 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 1609937507 NPPES
Pennsylvania MEDICAID 1007708200001

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