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NPI Code Detail

MEDICARE: JUSTIN CHASE WARFEL

MEDICARE:   JUSTIN CHASE WARFEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1285103861
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN CHASE WARFEL
Provider Business Mailing Address
First Line : 719 E BALD EAGLE ST
Second Line :
City : LOCK HAVEN
State : PA
Zip : 17745-2206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 719 E BALD EAGLE ST
Second Line :
City : LOCK HAVEN
State : PA
Zip : 17745-2206
Country : US
Telephone Number : 717-178-4284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2018
Last Update Date : 11/13/2018

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Directions to “ JUSTIN CHASE WARFEL ” Practice Location

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