Doctor Name: | MRS. CASSIE JO HARSHBERGER |
NPI Number: | 1225220650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA053013 |
Business Practice Address: | 1575 N Old Trail Selinsgrove, PA - 178701575 |
Business Phone Number: | 5703748555 |
Business Fax Number: | 5703749933 |
Mailing Address: | 1575 N Old Trail, SELINSGROVE |
State: | PA |
Postal Code: | 178701575 |
Phone Number: | 5703748555 |
Fax Number: | 5703749933 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA053013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |