Individual
JOSHUA ALAN SHALLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8151
(570) 703-8387
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055303
PA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/27/2011
Last updated
08/24/2020
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