Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK W HENNICKE, PA-C
ActiveMARK W HENNICKE, PA-C is a Medical Physician Assistant healthcare provider located in GREENSBURG, Pennsylvania. NPI 1487611307 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GREENSBURG, PA
Registration Details
- NPI Number
- 1487611307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (20.28951425751 yrs)
- Last Updated
- Nov 17, 2016
- License
-
MA002773L (PA)
Practice Information
- Address
-
530 SOUTH STSECOND FLOORGREENSBURG, PA, 156012775Browse PA providers · Browse ZIP 15601
- Phone
- 7246891358
- Fax
- 7246890547
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in GREENSBURG, PA
| Name | Credential | NPI |
|---|---|---|
| MARK DESANTIS | PA-C | 1780682559 |
| MRS. DEEANN MAE POLAKOVSKY | PAC | 1699756544 |
| MRS. MARIE PIRILLO | PA-C | 1073593141 |
| LARA H BLOSSER | PA-C | 1427028034 |
| KRISTA PEREZ | PA-C | 1275507717 |
| JENNIFER L SHELLENBARGER | PA-C | 1255391025 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.