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NPI Code Detail

MEDICARE: JEREMY PHILLIP HOPERSBERGER PA-C

MEDICARE: JEREMY PHILLIP HOPERSBERGER PA-C
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
1363A00000XPhysician AssistantMA061119PA

General Provider Information

NPI Number : 1003467572
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY PHILLIP HOPERSBERGER PA-C
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number : 570-271-6578
Provider Business Practice Location Address
First Line : 335 LAMBS GAP RD
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-2784
Country : US
Telephone Number : 717-591-1425
Fax Number : 717-591-1365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 05/18/2026

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Directions to “ JEREMY PHILLIP HOPERSBERGER PA-C” Practice Location

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