Healthcare Provider Details

I. General information

NPI: 1376105148
Provider Name (Legal Business Name): NATHANIEL STEPHEN OHLINGER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 01/31/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 EAST AVE STE 3
BERNVILLE PA
19506-9044
US

IV. Provider business mailing address

44 EAST AVE STE 3
BERNVILLE PA
19506-9044
US

V. Phone/Fax

Practice location:
  • Phone: 610-488-7080
  • Fax: 610-488-9796
Mailing address:
  • Phone: 610-488-7080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS021789
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: