Kistler, Eugene Patrick

Kistler, Eugene Patrick is an individual health care provider with primary practice located at 4500 Stuart St Moncrief Army Community Hospital, Columbia SC 29207-5700. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kistler, Eugene Patrick can be contacted via phone (803) 751-2618.

Contact Information

Primary practice address
4500 Stuart St Moncrief Army Community Hospital Columbia SC 29207-5700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X NCCPA 1020290

Profile Details

NPI number 1073618880
LBN Legal business name Kistler, Eugene Patrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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