Healthcare Provider Details

I. General information

NPI: 1932260221
Provider Name (Legal Business Name): WALTER D STEINKE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 N. DECATUR ST
STRASBURG PA
17579
US

IV. Provider business mailing address

241 N. DECATUR ST
STRASBURG PA
17579
US

V. Phone/Fax

Practice location:
  • Phone: 717-687-7534
  • Fax: 717-687-0341
Mailing address:
  • Phone: 717-687-7534
  • Fax: 717-687-0341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP007304
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0S006099L
License Number StatePA

VIII. Authorized Official

Name: DR. WALTER DENNIS STEINKE
Title or Position: DOCTOR OF OSTEOPATHY, OWNER
Credential: D.O.
Phone: 717-687-7534