Provider Demographics
NPI:1578721114
Name:BEIL, LUTHER EDWARD (DO)
Entity Type:Individual
Prefix:MR
First Name:LUTHER
Middle Name:EDWARD
Last Name:BEIL
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 1:2667 COMMUNITY DRIVE
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:PA
Mailing Address - Zip Code:18014
Mailing Address - Country:US
Mailing Address - Phone:610-837-7423
Mailing Address - Fax:
Practice Address - Street 1:2667 COMMUNITY DRIVE
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:PA
Practice Address - Zip Code:18014
Practice Address - Country:US
Practice Address - Phone:610-837-7423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS3290L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice