Provider Demographics
NPI:1942320122
Name:PALATNA, OKSANA N (DO)
Entity Type:Individual
Prefix:
First Name:OKSANA
Middle Name:N
Last Name:PALATNA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-0447
Mailing Address - Country:US
Mailing Address - Phone:814-375-2070
Mailing Address - Fax:814-375-2076
Practice Address - Street 1:145 HOSPITAL AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1462
Practice Address - Country:US
Practice Address - Phone:814-375-2070
Practice Address - Fax:814-375-2076
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0135322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1021918620001Medicaid
PA134742Medicare PIN