Provider Demographics
NPI:1548630551
Name:HARRISBURG MEDICAL PARTNERS, LLC
Entity type:Organization
Organization Name:HARRISBURG MEDICAL PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROWLAND
Authorized Official - Middle Name:O
Authorized Official - Last Name:CHIGBU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-715-8705
Mailing Address - Street 1:2023 NORTH 2ND STREET
Mailing Address - Street 2:SUITE 111
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102
Mailing Address - Country:US
Mailing Address - Phone:717-715-8705
Mailing Address - Fax:717-715-8707
Practice Address - Street 1:2023 NORTH 2ND STREET
Practice Address - Street 2:SUITE 111
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102
Practice Address - Country:US
Practice Address - Phone:717-715-8705
Practice Address - Fax:717-715-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty