Individual
REBECCA L. HISSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 ST PAUL DRIVE, SUITE 202, CHAMBERSBURG, PA 17201-1036
(717) 217-6870
(717) 217-6945
Mailing address
785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4218
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001865L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103166800
—
PA
Enumeration date
08/22/2007
Last updated
11/11/2019
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