Healthcare Provider Details

I. General information

NPI: 1881903722
Provider Name (Legal Business Name): JASON MICHAEL SCHWEICHLER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 07/08/2020
Certification Date: 07/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3631 PENNS VALLEY RD
SPRING MILLS PA
16875-8011
US

IV. Provider business mailing address

3631 PENNS VALLEY RD
SPRING MILLS PA
16875-8011
US

V. Phone/Fax

Practice location:
  • Phone: 814-422-8873
  • Fax: 814-422-8037
Mailing address:
  • Phone: 814-422-8873
  • Fax: 814-422-8037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS016341
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: