Individual
DR. CRAIG ALAN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5012 CARLISLE PIKE, MECHANICSBURG, PA 17050
(717) 763-2020
(717) 901-6565
Mailing address
5012 CARLISLE PIKE, MECHANICSBURG, PA 17050
(717) 763-2020
(717) 901-6565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0E007172T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013931540004
MEDICAL ASSISTANCE GROUP
—
05
—
0013931540004
—
PA
01
—
1611141
639069
—
01
—
50003075
BLUE CROSS
—
01
—
U08433
HEALTH AMERICA
—
Enumeration date
05/10/2006
Last updated
09/26/2011
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