| Vickery Neurodiagnostics Group Ltd | |
|
3 Jennifer Ct Suiteb Carlisle PA 17015-7791 | |
| (717) 245-2226 | |
| (717) 245-0316 |
| Full Name | Vickery Neurodiagnostics Group Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3 Jennifer Ct, Carlisle, Pennsylvania |
| Authorized Official Name and Position | Jon L Vickery (PRESIDENT) |
| Authorized Official Contact | 7172452226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vickery Neurodiagnostics Group Ltd 3 Jennifer Ct Suiteb Carlisle PA 17015-7791 Ph: (717) 245-2226 | Vickery Neurodiagnostics Group Ltd 3 Jennifer Ct Suiteb Carlisle PA 17015-7791 Ph: (717) 245-2226 |
| NPI Number | 1124193313 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 12/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124193313 | NPI | - | NPPES |
| 0014792300003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD031004E (Pennsylvania) | Primary |
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