Provider Demographics
NPI:1255628905
Name:SEKULA CROCKER, CHRISTINE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:SEKULA CROCKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 UNION AVE STE C
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-2144
Mailing Address - Country:US
Mailing Address - Phone:724-224-6700
Mailing Address - Fax:724-224-8005
Practice Address - Street 1:1621 UNION AVE STE C
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-2144
Practice Address - Country:US
Practice Address - Phone:724-224-6700
Practice Address - Fax:724-224-8005
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017258207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine