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1972569911 NPI number — JACK L ARMSTRONG MD

NPI Number: 1972569911
Health Care Provider/Practitioner: JACK L ARMSTRONG MD

Information about “1972569911” NPI (JACK L ARMSTRONG MD) exists in 1972569911 in HTML format HTML  |  1972569911 in plain Text format TXT  |  1972569911 in PDF (Portable Document Format) PDF  |  1972569911 in an XML format XML  formats.

NPI Number : 1972569911 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972569911",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ARMSTRONG",
    "FirstName": "JACK",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1700 BENT CREEK BLVD STE 210",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MECHANICSBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17050-1870",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-791-2640",
    "MailingAddressFaxNumber": "717-791-2646",
    "FirstLinePracticeLocationAddress": "1700 BENT CREEK BLVD STE 210",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MECHANICSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17050-1870",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-243-7540",
    "PracticeLocationAddressFaxNumber": "717-243-9968",
    "EnumerationDate": "04/26/2006",
    "LastUpdateDate": "12/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207K00000X",
        "TaxonomyName": "Allergy & Immunology Physician",
        "LicenseNumber": "MD069595L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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