Provider Demographics
NPI:1376105148
Name:OHLINGER, NATHANIEL STEPHEN (DO)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:STEPHEN
Last Name:OHLINGER
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 1:44 EAST AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BERNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19506-9044
Mailing Address - Country:US
Mailing Address - Phone:610-488-7080
Mailing Address - Fax:
Practice Address - Street 1:44 EAST AVE STE 3
Practice Address - Street 2:
Practice Address - City:BERNVILLE
Practice Address - State:PA
Practice Address - Zip Code:19506-9044
Practice Address - Country:US
Practice Address - Phone:610-488-7080
Practice Address - Fax:610-488-9796
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS021789207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine