Provider Demographics
NPI:1336659549
Name:MANN & HENRY PODIATRY SERVICES LLC
Entity Type:Organization
Organization Name:MANN & HENRY PODIATRY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:301-694-8880
Mailing Address - Street 1:525 W MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-2418
Mailing Address - Country:US
Mailing Address - Phone:717-334-1825
Mailing Address - Fax:717-334-0125
Practice Address - Street 1:525 W MIDDLE ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2418
Practice Address - Country:US
Practice Address - Phone:717-334-1825
Practice Address - Fax:717-334-0125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site