Individual provider · Type 1 NPI

Charles Krohn Fishpaw, PA-S

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1689124620 Active

Practice location

1616 Pine St, C10
Philadelphia, PA 19103-6745

Call (701) 240-8119 Map

Specialties and licenses

TaxonomyCodeLicense
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 1689124620

Charles Krohn Fishpaw, PA-S's National Provider Identifier is 1689124620, issued on Oct 13, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 13, 2016.