Individual provider · Type 1 NPI
Charles Shillingburg
Student in an Organized Health Care Education/Training Program · Enon Valley, PA
NPI number
1144192907
Active
Practice location
375 Petersburg Rd
Enon Valley, PA 16120-1427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1144192907
Charles Shillingburg's National Provider Identifier is 1144192907, issued on Sep 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Enon Valley, PA. The record was last updated on Sep 22, 2025.