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Organization
GREENCASTLE FAMILY PRACTICE PC
Active
Organization
GREENCASTLE FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFFER LEE SHOWALTER (EXECUTIVE ASSISTANT)
(223) 465-2025
Entity
Organization
Contact information
Practice address
50 EASTERN AVE, STE 135, GREENCASTLE, PA 17225-1100
(717) 597-3151
(717) 597-8933
Mailing address
50 EASTERN AVE, STE 135, GREENCASTLE, PA 17225-1100
(717) 597-3151
(717) 597-8933
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10744525
—
PA
Enumeration date
07/05/2006
Last updated
01/24/2025
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