Healthcare Provider Details

I. General information

NPI: 1891106225
Provider Name (Legal Business Name): ANDREW SCHLEIHAUF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2014
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 S CHURCH ST STE 200
MT PLEASANT PA
15666-1702
US

IV. Provider business mailing address

508 S CHURCH ST STE 200
MT PLEASANT PA
15666-1702
US

V. Phone/Fax

Practice location:
  • Phone: 724-547-1208
  • Fax: 724-547-1207
Mailing address:
  • Phone: 724-547-1208
  • Fax: 724-547-1207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberOS017798
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: