Individual
JON J OLENGINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
128 E MAIN ST, NANTICOKE, PA 18634-1604
(570) 258-1304
(570) 258-1305
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS007908L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015426390004
—
PA
01
—
002459
FIRST PRIORITY HEALTH
PA
01
—
020017400
BLACK LUNG
PA
01
—
129715
HEALTH AMERICA
PA
01
—
20460
GEISINGER HEALTH PLAN
PA
01
—
787926
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/24/2006
Last updated
08/31/2020
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