Provider Demographics
NPI:1649264573
Name:STYNCHULA, JOSEPH F (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:STYNCHULA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3690 VARTAN WAY
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9438
Mailing Address - Country:US
Mailing Address - Phone:717-657-3330
Mailing Address - Fax:717-657-1221
Practice Address - Street 1:3690 VARTAN WAY
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9438
Practice Address - Country:US
Practice Address - Phone:717-657-3330
Practice Address - Fax:717-657-1221
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001354L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA106851OtherHIGHMARK
PA1520313Medicaid
PA02544500OtherCBC
PA106851Medicare ID - Type UnspecifiedPROVIDER ID NUMBER