Healthcare Provider Details

I. General information

NPI: 1205951761
Provider Name (Legal Business Name): JAMES N. STENGEL, D.O., LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 CAROL RD
YORK PA
17402-4159
US

IV. Provider business mailing address

2930 CAROL RD
YORK PA
17402-4159
US

V. Phone/Fax

Practice location:
  • Phone: 717-757-4342
  • Fax: 717-840-1613
Mailing address:
  • Phone: 717-757-4342
  • Fax: 717-840-1613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberOS002579L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES N STENGEL
Title or Position: PRESIDENT
Credential: D.O.
Phone: 717-757-4342