Provider Demographics
NPI:1295003358
Name:MCCREARY, JEFFREY A (MRP)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:A
Last Name:MCCREARY
Suffix:
Gender:M
Credentials:MRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2317
Mailing Address - Country:US
Mailing Address - Phone:717-461-5909
Mailing Address - Fax:
Practice Address - Street 1:245 BUTLER AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6311
Practice Address - Country:US
Practice Address - Phone:717-461-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist