Provider Demographics
NPI:1336937630
Name:JEAN-PHILIPPE, EMMANUEL (CORECHI-P, HAITIAN)
Entity type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:
Last Name:JEAN-PHILIPPE
Suffix:
Gender:
Credentials:CORECHI-P, HAITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 WICKSHIRE CIR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-7669
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:620 WICKSHIRE CIR
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7669
Practice Address - Country:US
Practice Address - Phone:717-406-9148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
017021171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter