Individual
PAMELA D ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12 ST PAUL DR STE 104, CHAMBERSBURG, PA 17201-1035
(717) 263-8463
(717) 263-1103
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052608
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103146422
—
PA
01
—
120420421
DEPT OF LABOR
PA
01
—
25-1716306
INTERGROUP
PA
01
—
50081917
CAPITAL BLUECROSS
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
MA052608
LICENSE
PA
01
—
P00708427
RAILROAD MEDICARE
PA
Enumeration date
09/24/2006
Last updated
03/07/2023
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