Provider Demographics
NPI:1679973044
Name:REISINGER, HANS D (PA-C)
Entity type:Individual
Prefix:
First Name:HANS
Middle Name:D
Last Name:REISINGER
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:155 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-6797
Mailing Address - Country:US
Mailing Address - Phone:814-231-7000
Mailing Address - Fax:814-231-7098
Practice Address - Street 1:164 GREENVIEW DR STE 445
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2106
Practice Address - Country:US
Practice Address - Phone:814-278-4631
Practice Address - Fax:814-278-4685
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA056035363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical