Pattishall, Evan G.

Pattishall, Evan G. is an individual health care provider with primary practice located at 310 Student Health Center , University Park PA 16802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pattishall, Evan G. can be contacted via phone (814) 863-8542.

Contact Information

Primary practice address
310 Student Health Center University Park PA 16802
Phone: (814) 863-8542
Fax: (814) 863-8464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-030227-E Pennsylvania

Profile Details

NPI number 1962520395
LBN Legal business name Pattishall, Evan G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 15th, 2008 - about 18 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 1962520395 NPPES
Pennsylvania Other PA448820 BLUE SHIELD

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