Healthcare Provider Details

I. General information

NPI: 1982533436
Provider Name (Legal Business Name): CASE NAHELE TRETTER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1086 FRANKLIN ST
JOHNSTOWN PA
15905-4305
US

IV. Provider business mailing address

1086 FRANKLIN ST
JOHNSTOWN PA
15905-4305
US

V. Phone/Fax

Practice location:
  • Phone: 814-534-1660
  • Fax: 814-534-1680
Mailing address:
  • Phone: 814-534-1660
  • Fax: 814-534-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOT025240
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: