Healthcare Provider Details

I. General information

NPI: 1396742631
Provider Name (Legal Business Name): STEPHEN BRETT FLACK M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3106 PHILADELPHIA AVE
CHAMBERSBURG PA
17201-8938
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-264-3644
  • Fax: 717-264-9077
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD069240L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD069240L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: