Hissong, Eileen Lucille

Hissong, Eileen Lucille is an individual health care provider with primary practice located at 601 E Main St , Waynesboro PA 17268-2332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hissong, Eileen Lucille can be contacted via phone (717) 765-5085.

Contact Information

Primary practice address
601 E Main St Waynesboro PA 17268-2332
Fax: (717) 765-5066
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP014050 Pennsylvania

Profile Details

NPI number 1184027641
LBN Legal business name Hissong, Eileen Lucille
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2014
Last updated Sep 21st, 2021 - about 3 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 1184027641 NPPES
Pennsylvania MEDICAID 102989349
Pennsylvania Other 12763901

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