Basic Information
Provider Information
NPI: 1376105148
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OHLINGER
FirstName: NATHANIEL
MiddleName: STEPHEN
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1410 GARFIELD AVE
Address2:  
City: WYOMISSING
State: PA
PostalCode: 196102414
CountryCode: US
TelephoneNumber: 4847949977
FaxNumber:  
Practice Location
Address1: 2500 BERNVILLE RD
Address2:  
City: READING
State: PA
PostalCode: 196059453
CountryCode: US
TelephoneNumber: 6103782000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/02/2019
LastUpdateDate: 07/02/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XOT019633PAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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