Individual
JACOB LUKE HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
109 W GREEN ST, NANTICOKE, PA 18634-2212
(570) 579-0043
(570) 735-2608
Mailing address
109 W GREEN ST, NANTICOKE, PA 18634-2212
(570) 579-0043
(570) 735-2608
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062957
PA
Other
Enumeration date
11/12/2021
Last updated
04/10/2025
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