Provider Demographics
NPI:1417344847
Name:DISSINGER, CHARISH
Entity Type:Individual
Prefix:MRS
First Name:CHARISH
Middle Name:
Last Name:DISSINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 N LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-1927
Mailing Address - Country:US
Mailing Address - Phone:717-342-8449
Mailing Address - Fax:
Practice Address - Street 1:132 N LOCUST ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-1927
Practice Address - Country:US
Practice Address - Phone:717-342-8449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula