Individual
JARED R HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
540 N DUKE ST, SUITE 110, LANCASTER, PA 17602-2374
(717) 544-4995
Mailing address
540 N DUKE ST, SUITE 110, LANCASTER, PA 17602-2374
(717) 544-4995
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA052424
PA
Other
Enumeration date
06/20/2006
Last updated
03/31/2009
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