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Individual

MR. HOWARD PAUL BISSETT JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2500 HOSPITAL DR, ALIQUIPPA, PA 15001-2123
(724) 857-1348
(724) 857-1481
Mailing address
144 IRWIN AVE, HOUSTON, PA 15342-1065
(724) 746-4430

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN177515L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1320056
BLUE SHIELD
PA
01
RN177515L
RN LICENSE
PA
Enumeration date
05/19/2006
Last updated
07/08/2007
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