Healthcare Provider Details

I. General information

NPI: 1598456923
Provider Name (Legal Business Name): JOSEPH S LOVE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 OREGON PIKE
LANCASTER PA
17601-4335
US

IV. Provider business mailing address

426 W SHADY LN
ENOLA PA
17025-2241
US

V. Phone/Fax

Practice location:
  • Phone: 717-925-2995
  • Fax:
Mailing address:
  • Phone: 717-440-0864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA007169
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: