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NPI Code Detail

MEDICARE: MRS. JANELLE MARIE HUMMER M.ED, ATC, OTC

MEDICARE: MRS. JANELLE MARIE HUMMER M.ED, ATC, OTC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246Z00000XOther Specialist/TechnologistRT003028PA

General Provider Information

NPI Number : 1205805629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANELLE MARIE HUMMER M.ED, ATC, OTC
Provider Business Mailing Address
First Line : 296 JOHNATHON DR
Second Line :
City : MCSHERRYSTOWN
State : PA
Zip : 17344-1129
Country : US
Telephone Number : 717-646-7119
Fax Number : 717-632-2244
Provider Business Practice Location Address
First Line : 300 HIGHLAND AVE
Second Line :
City : HANOVER
State : PA
Zip : 17331-2297
Country : US
Telephone Number : 717-646-7119
Fax Number : 717-632-2244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 07/01/2012

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