Provider Demographics
NPI:1255385076
Name:BISSETT, HOWARD PAUL JR (CRNA)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:PAUL
Last Name:BISSETT
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:144 IRWIN AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:PA
Mailing Address - Zip Code:15342-1065
Mailing Address - Country:US
Mailing Address - Phone:724-746-4430
Mailing Address - Fax:
Practice Address - Street 1:2500 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-2123
Practice Address - Country:US
Practice Address - Phone:724-857-1348
Practice Address - Fax:724-857-1481
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN177515L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARN177515LOtherRN LICENSE
PA1320056OtherBLUE SHIELD
PA524626Medicare ID - Type Unspecified