Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC004801L | PA |
Y | 222Z00000X | Podiatrist | SC004801L | PA |
NPI | 1013999044 |
---|---|
Provider Name | Michael Stephen Husar |
First Address | Chambersburg, PA 17201-4232 |
Second Address | Chambersburg, PA 17201-1450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 19/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018795550001 | (05) | PA |
1315732 | BLUE SHIELD (01) | PA |
2678021 | AETNA (01) | PA |
U87010 | (02) |