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Bernard Smack
Student in an Organized Health Care Education/Training Program in Shippensburg, Pennsylvania
NPI 1912455163

Bernard Smack is a Student in an Organized Health Care Education/Training Program based in Shippensburg, PA. Bernard Smack practices in Shippensburg, PA. The NPI Number for Bernard Smack is 1912455163 and holds a License No. (Pennsylvania).

The current practice location address for Bernard Smack is 409 Schoolhouse Ln, Shippensburg, PA and can be reached out via phone at 814-441-6053.

Location: 409 Schoolhouse Ln, Shippensburg, PA, 17257-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912455163
Provider Name
Bernard Smack
Credential
Provider Entity Type
Individual
Gender
Male
Address
409 Schoolhouse Ln, Shippensburg, PA, 17257-1009
Phone Number
814-441-6053
Fax Number
Provider Enumeration Date
09/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
409 Schoolhouse Ln
City
Shippensburg
State
Pennsylvania
Zip
17257-1009
Phone Number
814-441-6053
Fax Number
person
Provider Business Mailing Address Details
Address
409 Schoolhouse Ln
City
Shippensburg
State
Pennsylvania
Zip
17257-1009
Phone Number
814-441-6053
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Pennsylvania)
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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