Provider Demographics
NPI:1851151492
Name:VOIGT, JOHN VINCENT
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:VINCENT
Last Name:VOIGT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JOHNNY
Other - Middle Name:VINCENT
Other - Last Name:VOIGT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1850 E PARK AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-6706
Mailing Address - Country:US
Mailing Address - Phone:814-235-2480
Mailing Address - Fax:
Practice Address - Street 1:1850 E PARK AVE STE 207
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-6706
Practice Address - Country:US
Practice Address - Phone:814-235-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program