Sefchick, Cory D

Sefchick, Cory D is an individual health care provider with primary practice located at 1850 E Park Ave Ste 112, State College PA 16803-6706. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sefchick, Cory D can be contacted via phone (814) 865-3566.

Contact Information

Primary practice address
1850 E Park Ave Ste 112 State College PA 16803-6706
Phone: (814) 865-3566
Fax: (814) 863-7803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA002771L Pennsylvania

Profile Details

NPI number 1528022811
LBN Legal business name Sefchick, Cory D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 11th, 2020 - 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 1528022811 NPPES
Pennsylvania MEDICAID 1031716950001

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