Provider Demographics
NPI:1639479728
Name:LINCOLNWAY HEALTHCARE, LLC
Entity Type:Organization
Organization Name:LINCOLNWAY HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GALE
Authorized Official - Last Name:EYER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-259-6800
Mailing Address - Street 1:282 W KING ST
Mailing Address - Street 2:PO BOX 429
Mailing Address - City:ABBOTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17301-9708
Mailing Address - Country:US
Mailing Address - Phone:717-259-6800
Mailing Address - Fax:717-259-6801
Practice Address - Street 1:282 W KING ST
Practice Address - Street 2:
Practice Address - City:ABBOTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17301-9708
Practice Address - Country:US
Practice Address - Phone:717-259-6800
Practice Address - Fax:717-259-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-24
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004219L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty