Individual
JASON HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
863 S LINCOLN AVE, BELLWOOD OFFICE, TYRONE, PA 16686-1349
(814) 684-1245
Mailing address
863 S LINCOLN AVE, BELLWOOD OFFICE, TYRONE, PA 16686-1349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009583L
PA
Other
Enumeration date
08/21/2006
Last updated
04/06/2021
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