MR. PAUL HOWELL ROLSTON M.M.SC. P.A.-C NPI 1710953203

NPI Information

NPI: 1710953203
Provider Name: MR. PAUL HOWELL ROLSTON, , M.M.SC., P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
NORTHEASTERN HOSPITAL
2186 ALLEGHENY ROAD
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 291-3620
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MR. Paul Howell Rolston, , M.M.SC., P.A.-C is a medical physician assistant in Philadelphia, PA. MR. Paul Howell Rolston, , M.M.SC., P.A.-C NPI is 1710953203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

NORTHEASTERN HOSPITAL
2186 ALLEGHENY ROAD
PHILADELPHIA, PA
ZIP 19114-436
Phone: (215) 291-3620

The enumeration date for this NPI number is 2/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA052239	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	096154	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	P92876	MEDICARE UPIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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