Doctor Name: | MR. CHARLES MARVIN SWINGHOLM |
NPI Number: | 1144421488 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.N. |
License Number: | RN188454L |
Business Practice Address: | Lebanon Treatment Center Of Crc Health Group 3030 Chestnut Street Lebanon, PA - 170420000 |
Business Phone Number: | 7172738000 |
Business Fax Number: | 7172738244 |
Mailing Address: | Po Box 146, RICHLAND |
State: | PA |
Postal Code: | 170870146 |
Phone Number: | 7178666278 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | RN188454L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |