Basic Information
Provider Information
NPI: 1093775066
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROWEHL
FirstName: JANE
MiddleName: BEEBE
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3 WALNUT ST
Address2: SUITE 206
City: LEMOYNE
State: PA
PostalCode: 170431168
CountryCode: US
TelephoneNumber: 7177610208
FaxNumber: 7177612023
Practice Location
Address1: 1830 GOOD HOPE RD
Address2:  
City: ENOLA
State: PA
PostalCode: 170251233
CountryCode: US
TelephoneNumber: 7177328877
FaxNumber: 7177329241
Other Information
ProviderEnumerationDate: 03/24/2006
LastUpdateDate: 06/18/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD036395EPAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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