Henry, Craig Alan

Henry, Craig Alan is an sole proprietor health care provider with primary practice located at 5012 Carlisle Pike , Mechanicsburg PA 17050. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Henry, Craig Alan can be contacted via phone (717) 763-2020.

Contact Information

Primary practice address
5012 Carlisle Pike Mechanicsburg PA 17050
Fax: (717) 901-6565
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0E007172T Pennsylvania

Profile Details

NPI number 1548210818
LBN Legal business name Henry, Craig Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Sep 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548210818 NPPES
Pennsylvania MEDICAID 0013931540004
Pennsylvania Other 0013931540004
Pennsylvania Other 50003075
Pennsylvania Other 1611141
Pennsylvania Other U08433

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