Individual
JASON S. MISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
46 WALNUT BOTTOM RD, SUITE 200, SHIPPENSBURG, PA 17257-8219
(717) 532-4148
(717) 532-3561
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
MA057080
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103220252
—
PA
01
—
867633
MEDICARE GROUP #
PA
Enumeration date
07/23/2014
Last updated
01/03/2017
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