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
Phone: (717) 763-2020
Fax: (717) 901-6565
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548210818 | NPPES |
| Pennsylvania | MEDICAID | 0013931540004 | |
| Pennsylvania | Other | 0013931540004 | |
| Pennsylvania | Other | 50003075 | |
| Pennsylvania | Other | 1611141 | |
| Pennsylvania | Other | U08433 |
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