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Contact Information

EVAN G PATTISHALL III, MD
310 STUDENT HEALTH CENTER
UNIVERSITY PARK, PA16802
 Phone: 814-863-8542
 Fax: 814-863-8464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EVAN G PATTISHALL III · (Male)

NPI # 1962520395
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2007
Last updated 07/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD-030227-E
  • PA Other PA448820 BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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