Jeremy Athelstone
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Slippery Rock, PA
NPI 1861116675 · NPPES record last updated Sep 27, 2022
Key facts
- NPI
- 1861116675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 101 Field House Rd
Slippery Rock, PA 16057 - Phone
- (800) 778-9111
- NPI assigned
- Sep 27, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | Yes |
Addresses
Primary practice location
101 Field House Rd
Slippery Rock, PA 16057
Mailing address
1608 Treasure LK
Du Bois, PA 15801-9043
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | file | Health Information Exchange (HIE) |
Other providers in Slippery Rock, PA
- William Ross Ainsworth
- David Charles Albert
- Allegheny Clinic
- Allegheny Health Network
- Allied Dental Group
- Eric Avila
- Shawna Bannister
- Michelle Barron
- Laura A Bateman
- Wendy J Beeching
All providers in Slippery Rock, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.