Provider Demographics
NPI:1205899432
Name:SCHETTINI-PRASKO, DEBRA ANN (DO)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:ANN
Last Name:SCHETTINI-PRASKO
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 1:531 GRIFFITH RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:PA
Mailing Address - Zip Code:16646-7405
Mailing Address - Country:US
Mailing Address - Phone:814-948-6289
Mailing Address - Fax:
Practice Address - Street 1:2128 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3384
Practice Address - Country:US
Practice Address - Phone:724-463-1064
Practice Address - Fax:724-723-2873
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008534L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015850910010Medicaid
PA083096Medicare ID - Type Unspecified
PA0015850910010Medicaid