Destefano, Karen Ann
Destefano, Karen Ann is an sole proprietor health care provider with primary practice located at 5230 Centre Ave , Pittsburgh PA 15232-1304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Destefano, Karen Ann can be contacted via phone (412) 623-2314.Contact Information
Primary practice address
5230 Centre Ave
Pittsburgh PA 15232-1304
Phone: (412) 623-2314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA001219L | Pennsylvania |
Profile Details
| NPI number | 1770544330 |
|---|---|
| LBN Legal business name | Destefano, Karen Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Mar 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770544330 | NPPES |
| Pennsylvania | MEDICAID | 1770544330 |
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