Individual
CHARLES SHILLINGBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 PETERSBURG RD, ENON VALLEY, PA 16120-1427
(724) 510-1369
Mailing address
375 PETERSBURG RD, ENON VALLEY, PA 16120-1427
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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