Individual
DR. CHARLES W EVERHART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 ELECTRIC AVE, SUITE 100, LEWISTOWN, PA 17044-1369
(717) 242-2531
(717) 242-1028
Mailing address
310 ELECTRIC AVE, SUITE 100, LEWISTOWN, PA 17044-1369
(717) 242-2531
(717) 242-1028
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD019992E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01412701
CAPITAL BLUE CROSS
PA
05
—
0915290
—
PA
01
—
28124
GEISINGER HEALTH PLAN
PA
Enumeration date
03/16/2006
Last updated
06/14/2011
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