Wagenheim, Andrew David

Wagenheim, Andrew David is an individual health care provider with primary practice located at 4310 Londonderry Rd Ste 1B , Harrisburg PA 17109-5300. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Wagenheim, Andrew David can be contacted via phone (717) 791-2620.

Contact Information

Primary practice address
4310 Londonderry Rd Ste 1B Harrisburg PA 17109-5300
Phone: (717) 791-2620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA052910 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA052910 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA052910 Pennsylvania

Profile Details

NPI number 1689701815
LBN Legal business name Wagenheim, Andrew David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated May 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689701815 NPPES
Pennsylvania Other 1954039 HIGHMARK BLUE SHIELD-WMG
Pennsylvania Other 1565334 HIGHMARK BLUE SHIELD-WMG

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