Healthcare Provider Details
I. General information
NPI: 1366441537
Provider Name (Legal Business Name): JOHN M SEKEL DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/19/2005
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8131 SPYGLASS HILL DR
FAYETTEVILLE PA
17222-5500
US
IV. Provider business mailing address
601 MEMORY LN
YORK PA
17402-2231
US
V. Phone/Fax
- Phone: 717-264-5211
- Fax: 717-264-5418
- Phone: 717-264-5211
- Fax: 717-264-5418
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | SC005572 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: