Provider Demographics
NPI:1497871172
Name:JOHN E STEELE MD PC
Entity Type:Organization
Organization Name:JOHN E STEELE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-377-0172
Mailing Address - Street 1:115 S 2ND ST
Mailing Address - Street 2:PARK VIEW HOUSE
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-2007
Mailing Address - Country:US
Mailing Address - Phone:610-377-0172
Mailing Address - Fax:
Practice Address - Street 1:115 S 2ND ST
Practice Address - Street 2:PARK VIEW HOUSE
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-2007
Practice Address - Country:US
Practice Address - Phone:610-377-0172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD009662E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006524200001Medicaid
PAC27317Medicare UPIN
PA017600Medicare ID - Type Unspecified