Provider Demographics
NPI:1366562324
Name:CRIMMEL, ANDREW SCOTT
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:SCOTT
Last Name:CRIMMEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-1923
Mailing Address - Country:US
Mailing Address - Phone:717-421-8650
Mailing Address - Fax:
Practice Address - Street 1:2137 ORCHARD RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7494
Practice Address - Country:US
Practice Address - Phone:717-421-8650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000496L171100000X
PAOM000003171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist