person
Mr. Charles Krohn Fishpaw, PA-S
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1689124620

Charles Krohn Fishpaw is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Charles Krohn Fishpaw practices in Philadelphia, PA and has the professional credentials of PA-S. The NPI Number for Charles Krohn Fishpaw is 1689124620 and holds a License No. (Pennsylvania).

The current practice location address for Charles Krohn Fishpaw is 1616 Pine St, Philadelphia, PA and can be reached out via phone at 701-240-8119.

Location: 1616 Pine St, Philadelphia, PA, 19103-6745
person
Provider Profile Details
NPI Number
1689124620
Provider Name
Charles Krohn Fishpaw
Credential
PA-S
Provider Entity Type
Individual
Gender
Male
Address
1616 Pine St, Philadelphia, PA, 19103-6745
Phone Number
701-240-8119
Fax Number
Provider Enumeration Date
10/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1616 Pine St
City
State
Zip
19103-6745
Phone Number
701-240-8119
Fax Number
person
Provider Business Mailing Address Details
Address
1616 Pine St
City
State
Zip
19103-6745
Phone Number
701-240-8119
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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