Healthcare Provider Details

I. General information

NPI: 1225827199
Provider Name (Legal Business Name): CHRISTOPHER SOBECK CRNP
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 LANCASTER RD
MANHEIM PA
17545-2314
US

IV. Provider business mailing address

700 LANCASTER ROAD
MANHEIM PA
17545-2496
US

V. Phone/Fax

Practice location:
  • Phone: 717-665-2496
  • Fax: 717-665-6345
Mailing address:
  • Phone: 717-665-2496
  • Fax: 717-665-6345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP031680
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: