Defalco, Evan Charles

Defalco, Evan Charles is an individual health care provider with primary practice located at 145 Hospital Ave , Du Bois PA 15801-1462. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Defalco, Evan Charles can be contacted via phone (814) 371-2200.

Contact Information

Primary practice address
145 Hospital Ave Du Bois PA 15801-1462
Phone: (814) 371-2200
Fax: (814) 375-2573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 022204 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X OT022204 Pennsylvania

Profile Details

NPI number 1366184590
LBN Legal business name Defalco, Evan Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2022
Last updated Aug 5th, 2022 - about 4 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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