Provider Demographics
NPI:1205805629
Name:HUMMER, JANELLE MARIE (MED, ATC, OTC)
Entity type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:MARIE
Last Name:HUMMER
Suffix:
Gender:F
Credentials:MED, ATC, OTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 JOHNATHON DR
Mailing Address - Street 2:
Mailing Address - City:MCSHERRYSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17344-1129
Mailing Address - Country:US
Mailing Address - Phone:717-646-7119
Mailing Address - Fax:717-632-2244
Practice Address - Street 1:300 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2297
Practice Address - Country:US
Practice Address - Phone:717-646-7119
Practice Address - Fax:717-632-2244
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2012-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART003028246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other