Provider Demographics
NPI:1528177607
Name:BOOK, HELEN W (PA-C)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:W
Last Name:BOOK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:HELEN
Other - Middle Name:F
Other - Last Name:SHISSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:100 FAIRWAY CIR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-9221
Mailing Address - Country:US
Mailing Address - Phone:217-272-0903
Mailing Address - Fax:
Practice Address - Street 1:1400 BLACKHORSE HILL RD
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-2040
Practice Address - Country:US
Practice Address - Phone:610-384-7711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA002166L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant