Healthcare Provider Details

I. General information

NPI: 1164450045
Provider Name (Legal Business Name): CHRISTOPHER KENT ECHTERLING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 S GEORGE ST SUITE 200
YORK PA
17403-3160
US

IV. Provider business mailing address

1803 MOUNT ROSE AVE SUITE B3
YORK PA
17403-3026
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-2334
  • Fax: 717-851-3498
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-3498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD054045L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: