Kowalishen, Heather Michelle

Kowalishen, Heather Michelle is an individual health care provider with primary practice located at 179 Independence Rd , East Stroudsburg PA 18301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kowalishen, Heather Michelle can be contacted via phone (570) 421-3900.

Contact Information

Primary practice address
179 Independence Rd East Stroudsburg PA 18301
Phone: (570) 421-3900
Fax: (570) 424-1549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP018125 Pennsylvania

Profile Details

NPI number 1871007526
LBN Legal business name Kowalishen, Heather Michelle
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2017
Last updated Aug 1st, 2018 - about 8 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 1871007526 NPPES
Pennsylvania Other 637151PZP MEDICARE

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