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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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