Provider Demographics
NPI:1851383442
Name:STAHL, JAMES M (PA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:STAHL
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:560 MCELHATTAN DR.
Practice Address - Street 2:
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17748
Practice Address - Country:US
Practice Address - Phone:570-263-4042
Practice Address - Fax:570-769-5022
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2020-09-01
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Provider Licenses
StateLicense IDTaxonomies
MO2001021776363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
G42207Medicare UPIN