Provider Demographics
NPI:1881653731
Name:SWEIGERT, CHARLES GERALD (CRNA)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:GERALD
Last Name:SWEIGERT
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 SETTLEMENT CIR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1973
Mailing Address - Country:US
Mailing Address - Phone:717-898-2747
Mailing Address - Fax:
Practice Address - Street 1:550 N DUKE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2208
Practice Address - Country:US
Practice Address - Phone:717-555-5411
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN508717L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered