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NPI Code Detail

MEDICARE: MID ATLANTIC PSYCHIATRIC PHYSICIANS

MEDICARE: MID ATLANTIC PSYCHIATRIC PHYSICIANS
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
12084P0800XPsychiatry PhysicianMD025752EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2025752-EOTHERPAMEDICAL LICENSE #

General Provider Information

NPI Number : 1932105756
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID ATLANTIC PSYCHIATRIC PHYSICIANS
Provider Business Mailing Address
First Line : 822 MARIETTA AVE
Second Line : STE 24
City : LANCASTER
State : PA
Zip : 17603-3239
Country : US
Telephone Number : 717-299-0582
Fax Number : 717-394-8930
Provider Business Practice Location Address
First Line : 822 MARIETTA AVE
Second Line : STE 24
City : LANCASTER
State : PA
Zip : 17603-3239
Country : US
Telephone Number : 717-299-0582
Fax Number : 717-394-8930
Authorized Official
Title or Position : OWNER
Name : DR. KURTIS D JENS
Credential : M.D.
Telephone Number : 717-299-0582
Provider Enumeration Date : 06/27/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1174573331 — JANNEKE M VAN BEUSEKOM LCSW
Practice Location Address:
822 MARIETTA AVE , SUITE 23
LANCASTER, PA
17603-3239
Practice Phone: 717-393-3002
Practice Fax:
1346261831 — MARY HELEN DAVIS MD
Practice Location Address:
822 MARIETTA AVE , SUITE 31
LANCASTER, PA
17603-3239
Practice Phone: 717-392-7062
Practice Fax: 717-392-5495
1467549469 — DR. ETHEL A. ESIANOR-MITCHUAL DDS
Practice Location Address:
822 MARIETTA AVE STE 21
LANCASTER, PA
17603-3239
Practice Phone: 717-393-5055
Practice Fax: 717-393-5676
1639214620 — JANET E BROWN LSW
Practice Location Address:
822 MARIETTA AVE , #31
LANCASTER, PA
17603-3239
Practice Phone: 717-392-7062
Practice Fax: 717-392-5495
1437372349 — CHARLENE K. ESHLEMAN RN, CS
Practice Location Address:
822 MARIETTA AVE
LANCASTER, PA
17603-3239
Practice Phone: 717-399-8288
Practice Fax: 717-399-8968
1992919476 — BEHAVIORAL HEALTHCARE CORPORATION
Practice Location Address:
822 MARIETTA AVE
LANCASTER, PA
17603-3239
Practice Phone: 717-399-8288
Practice Fax: 717-399-8968

Directions to “MID ATLANTIC PSYCHIATRIC PHYSICIANS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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