Simonetta, Cassandra Joy

Simonetta, Cassandra Joy is an individual health care provider with primary practice located at 32 Colonnade Way , State College PA 16803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Simonetta, Cassandra Joy can be contacted via phone (814) 272-4445.

Contact Information

Primary practice address
32 Colonnade Way State College PA 16803
Phone: (814) 272-4445
Fax: (814) 272-4450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD464450 Pennsylvania

Profile Details

NPI number 1508203811
LBN Legal business name Simonetta, Cassandra Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2013
Last updated Aug 16th, 2018 - about 6 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 1508203811 NPPES
Pennsylvania Other 677344 MEDICARE

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