Basic Information
Provider Information
NPI: 1881036119
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABNER
FirstName: JOIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4300 LONDONDERRY RD
Address2:  
City: HARRISBURG
State: PA
PostalCode: 171095317
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4300 LONDONDERRY RD
Address2:  
City: HARRISBURG
State: PA
PostalCode: 171095317
CountryCode: US
TelephoneNumber: 7176577525
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/29/2013
LastUpdateDate: 09/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XOTO1-5236PAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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