Individual
KATELIN MALISHCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
425 EAST FIRST ST., BLOOMSBURG, PA 17815-6183
(570) 416-1890
(570) 416-1892
Mailing address
100 NORTH ACADEMY AVE., DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054998
PA
363AM0700X
Medical Physician Assistant
MA054998
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227084
MEDICARE
PA
Enumeration date
07/25/2011
Last updated
03/15/2016
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