Provider Demographics
NPI:1093804890
Name:NOEL, JOEL EMORY (DO)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:EMORY
Last Name:NOEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 WEST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DALLASTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17313-2013
Mailing Address - Country:US
Mailing Address - Phone:717-244-5223
Mailing Address - Fax:717-417-3494
Practice Address - Street 1:375 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313-2013
Practice Address - Country:US
Practice Address - Phone:717-244-5223
Practice Address - Fax:717-417-3494
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05002567L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02455200OtherCAPITAL BLUE CROSS
PA02455200OtherCAPITAL BLUE CROSS
D66396Medicare UPIN