Pagana, Charles Carl

Pagana, Charles Carl is an sole proprietor health care provider with primary practice located at 270 Susquehanna Valley Mall Dr Ste 800 , Selinsgrove PA 17870-9124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pagana, Charles Carl can be contacted via phone (570) 884-7925.

Contact Information

Primary practice address
270 Susquehanna Valley Mall Dr Ste 800 Selinsgrove PA 17870-9124
Phone: (570) 884-7925
Fax: (570) 374-7932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD050701L Pennsylvania

Profile Details

NPI number 1548209752
LBN Legal business name Pagana, Charles Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Jul 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548209752 NPPES
Pennsylvania MEDICAID 001420743

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