CHARLES EUGENE STREAM PA-C NPI 1114355104

NPI Information

NPI: 1114355104
Provider Name: CHARLES EUGENE STREAM, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
133 EAST FREDEICK STREET
LANCASTER, PA
ZIP 17602
Phone: (717) 394-9821
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Charles Eugene Stream, PA-C is a medical physician assistant in Lancaster, PA. Charles Eugene Stream, PA-C NPI is 1114355104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

133 EAST FREDEICK STREET
LANCASTER, PA
ZIP 17602
Phone: (717) 394-9821
Fax: (717) 394-0175

The enumeration date for this NPI number is 10/29/2013 and was last updated on 10/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA001924L	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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