1346325206 NPI number — MRS. JESSICA LYNN HESS LAT, ATC

Table of content: MRS. JESSICA LYNN HESS LAT, ATC (NPI 1346325206)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346325206 NPI number — MRS. JESSICA LYNN HESS LAT, ATC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HESS
Provider First Name:
JESSICA
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LAT, ATC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346325206
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
715 PLEASANT DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW HOLLAND
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17557-9537
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-725-6472
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2110 HORSESHOE RD
Provider Second Line Business Practice Location Address:
CONESTOGA VALLEY HIGH SCHOOL
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17601-6006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-392-5231
Provider Business Practice Location Address Fax Number:
717-392-5226
Provider Enumeration Date:
10/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2255A2300X , with the licence number:  RT003022 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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