MR. CHARLES KROHN FISHPAW PA-S
NPI 1689124620
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Charles Fishpaw's NPI number?

The NPI number for Charles Fishpaw is 1689124620. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Q: What is Charles Fishpaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Fishpaw was last updated on October 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2016

1616 PINE ST, C10, PHILADELPHIA, PA 19103(701) 240-8119 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Charles Krohn Fishpaw Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES KROHN FISHPAW PA-S (NPI 1689124620) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1689124620

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. CHARLES KROHN FISHPAWCredential: PA-S

Location Address1616 PINE ST, C10Philadelphia, PA 19103-6745

Mailing Address1616 Pine St, C10Philadelphia, PA 19103-6745 · (701) 240-8119

Phone(701) 240-8119

Sole ProprietorNo

Enumeration DateOctober 13, 2016

✔ NPI 1689124620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1616 PINE ST, Philadelphia, PA 19103

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Fishpaw's NPI number?

The NPI number for Charles Fishpaw is 1689124620. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Where is Charles Fishpaw located?

Charles Fishpaw practices at 1616 Pine St C10, Philadelphia, PA 19103. The listed phone number is (701) 240-8119.

What is Charles Fishpaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Charles Fishpaw was last updated on October 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.