Pattishall, Evan G.
Pattishall, Evan G. is an individual health care provider with primary practice located at 310 Student Health Center , University Park PA 16802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pattishall, Evan G. can be contacted via phone (814) 863-8542.Contact Information
Primary practice address
310 Student Health Center
University Park PA 16802
Phone: (814) 863-8542
Fax: (814) 863-8464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD-030227-E | Pennsylvania |
Profile Details
| NPI number | 1962520395 |
|---|---|
| LBN Legal business name | Pattishall, Evan G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 15th, 2008 - about 16 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 | 1962520395 | NPPES |
| Pennsylvania | Other | PA448820 | BLUE SHIELD |
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