Provider Demographics
NPI:1164427217
Name:SLETTEN, STEIN M (MD)
Entity Type:Individual
Prefix:MR
First Name:STEIN
Middle Name:M
Last Name:SLETTEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N 7TH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1795
Mailing Address - Country:US
Mailing Address - Phone:717-749-4801
Mailing Address - Fax:717-749-4852
Practice Address - Street 1:120 N 7TH ST
Practice Address - Street 2:STE 101
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1795
Practice Address - Country:US
Practice Address - Phone:717-749-4801
Practice Address - Fax:717-749-4852
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423526207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50041117OtherCAPITAL BLUE CROSS
PA7704548OtherAETNA NON-HMO
PA153023OtherALLIANCE PPO
PAP00168522OtherRAILROAD MEDICARE
PA150264OtherMEDPLUS
PA1009292800002Medicaid
PA1606266OtherHIGHMARK BLUE SHIELD
PA3725963OtherAETNA HMO
PA3725963OtherAETNA HMO
PA1606266OtherHIGHMARK BLUE SHIELD