Provider Demographics
NPI:1245230762
Name:ENGLE, CAROLYN PAVLINCH (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:PAVLINCH
Last Name:ENGLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1030 BEANER HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-9723
Mailing Address - Country:US
Mailing Address - Phone:724-775-4242
Mailing Address - Fax:724-775-4690
Practice Address - Street 1:1030 BEANER HOLLOW RD
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-9723
Practice Address - Country:US
Practice Address - Phone:724-775-4242
Practice Address - Fax:724-775-4690
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047841L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010537450001Medicaid
PA1010537450001Medicaid
PAG09226Medicare UPIN