Osevala, Nicole Marie

Osevala, Nicole Marie is an individual health care provider with primary practice located at 1120 Cocoa Ave , Hershey PA 17033. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Osevala, Nicole Marie can be contacted via phone (717) 533-4141.

Contact Information

Primary practice address
1120 Cocoa Ave Hershey PA 17033
Phone: (717) 533-4141
Fax: (717) 533-9797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD436859 Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD436859 Pennsylvania

Profile Details

NPI number 1205953015
LBN Legal business name Osevala, Nicole Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2007
Last updated Apr 13th, 2021 - about 3 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 1205953015 NPPES
Pennsylvania MEDICAID 1023075470002

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