Individual provider · Type 1 NPI

Connor Shane Hosa

Student in an Organized Health Care Education/Training Program · Youngstown, OH

NPI number 1053127928 Active

Practice location

1 Tressel Way
Youngstown, OH 44555-9703

Call (330) 941-3000 Map

Mailing address

5695 Annie St
Lowellville, OH 44436-9505

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1053127928

Connor Shane Hosa's National Provider Identifier is 1053127928, issued on Dec 5, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Youngstown, OH. The record was last updated on Dec 5, 2024.