Provider Demographics
NPI:1912743493
Name:ALLINGER, JEREMY LEE (PA-C)
Entity type:Individual
Prefix:
First Name:JEREMY
Middle Name:LEE
Last Name:ALLINGER
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-8938
Mailing Address - Country:US
Mailing Address - Phone:717-965-2446
Mailing Address - Fax:
Practice Address - Street 1:20745 WILLIAMSPORT PL STE 100
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6518
Practice Address - Country:US
Practice Address - Phone:215-703-9152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110010611363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical