Kanellitsas, Ioanna

Kanellitsas, Ioanna is an individual health care provider with primary practice located at 145 Hospital Ave Suite 315, Du Bois PA 15801-1462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kanellitsas, Ioanna can be contacted via phone (814) 371-6172.

Contact Information

Primary practice address
145 Hospital Ave Suite 315 Du Bois PA 15801-1462
Phone: (814) 371-6172
Fax: (814) 371-3921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD451406 Pennsylvania

Profile Details

NPI number 1932282738
LBN Legal business name Kanellitsas, Ioanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 26th, 2017 - about 9 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 1932282738 NPPES
Pennsylvania Other 353894 MEDICARE PTAN- INDIVIDUAL
Pennsylvania MEDICAID 102920926 MEDICARE PTAN- INDIVIDUAL

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