Koberna, Paul Andrew

Koberna, Paul Andrew is an individual health care provider with primary practice located at 2134 Sandy Dr Ste 16 , State College PA 16803-2292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Koberna, Paul Andrew can be contacted via phone (814) 272-5805.

Contact Information

Primary practice address
2134 Sandy Dr Ste 16 State College PA 16803-2292
Phone: (814) 272-5805
Fax: (814) 272-0110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD062353-L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD062353-L Pennsylvania

Profile Details

NPI number 1003803263
LBN Legal business name Koberna, Paul Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Oct 31st, 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 1003803263 NPPES
Pennsylvania Other 50000805 CAPITAL BC/BS
Pennsylvania Other 952761 CAPITAL BC/BS
Pennsylvania MEDICAID 0016455000003 CAPITAL BC/BS
Pennsylvania Other 21920 CAPITAL BC/BS
Pennsylvania Other 110237654 CAPITAL BC/BS

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