Individual
DR. PAUL W HEBERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18244 IRISH RD, EDINBORO, PA 16412-4734
(814) 734-3633
(814) 734-1349
Mailing address
PO BOX 573, 18244 IRISH ROAD, EDINBORO, PA 16412-0573
(814) 734-3633
(814) 734-1349
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS008790L
PA
207R00000X
Internal Medicine Physician
OS008790L
PA
208VP0000X
Pain Medicine Physician
Primary
OS008790L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018002500008
—
PA
Enumeration date
08/21/2006
Last updated
09/11/2025
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