Conrad J Stachelek in Erie - Therapeutic Radiology

Conrad J Stachelek - NPI 1104822543

Conrad J Stachelek is a Therapeutic Radiology in Erie, Pennsylvania. Conrad J Stachelek practices all healthcare services and medical treatments related to Therapeutic Radiology. The NPI Number for Conrad J Stachelek is 1104822543. The last update date is 2020-10-11.

Conrad J Stachelek's current location address is 2508 Myrtle Street, Erie, Pennsylvania. You can contact this provider via phone number 8144525400 and fax number 8144542003. The mailing address for Conrad J Stachelek is 2508 Myrtle Street, Erie, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Conrad J Stachelek
Address 2508 Myrtle Street, Erie, Pennsylvania
Phone Number 8144525400
Fax Number 8144542003
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104822543
Provider Enumeration Date 2005-06-21
Last Updated Date 2020-10-11

Provider Mailing Address Detail

Address 2508 Myrtle Street
City Erie
State Pennsylvania (PA)
Post Code 1650527000
Phone Number 8144525400
Fax Number 8144542003

Provider's Primary Taxonomy Detail

Speciality Therapeutic Radiology
Taxonomy 2085R0203X
Licence No MD049426L
Definition:
A doctor who specializes in using radiation to treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1411566 PA --

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FAQs about Conrad J Stachelek

What is the unique 10-digit identification code assigned to Conrad J Stachelek by the Centers for Medicare & Medicaid Services?

The Conrad J Stachelek has been issued the NPI (National Provider Identifier) 1104822543, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Conrad J Stachelek is located?

The Conrad J Stachelek is situated at the following address: 2508 Myrtle Street, Erie, PA, 1650527000.

What is Conrad J Stachelek's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Conrad J Stachelek's specialized field of practice is Therapeutic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0203X.

When did Conrad J Stachelek receive its 1104822543 assignment?

The Conrad J Stachelek was assigned its 1104822543 on 2005-06-21, which is the date when this unique identifier was issued to the organization.

When was the information regarding Conrad J Stachelek most recently updated?

The details pertaining to the Conrad J Stachelek, including its address, specialty, and other relevant information, were last refreshed on 2020-10-11.

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