Edward Clark Bingol

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Kennett Square, PA

NPI 1972966547 · NPPES record last updated Mar 31, 2016

Key facts

NPI
1972966547
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
107 Merry Met Farms Dr
Kennett Square, PA 19348-1697
Phone
(484) 983-7483
NPI assigned
Mar 31, 2016
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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

107 Merry Met Farms Dr
Kennett Square, PA 19348-1697

Mailing address

107 Merry Met Farms Dr
Kennett Square, PA 19348-1697
Phone (484) 983-7483

Other providers in Kennett Square, PA

All providers in Kennett Square, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania

Sources for this page

Verify at the official NPI Registry.