Individual
DR. OLENA MACNICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 262-4546
(717) 263-1146
Mailing address
785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4218
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD454381
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260053
MEDICAID GROUP #
PA
01
—
867633
MEDICARE GROUP #
PA
Enumeration date
12/31/2013
Last updated
08/29/2016
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