Provider Demographics
NPI:1932260221
Name:WALTER D STEINKE
Entity Type:Organization
Organization Name:WALTER D STEINKE
Other - Org Name:STRASBURG FAMILY PRACTICE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF OSTEOPATHY, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:STEINKE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-687-7534
Mailing Address - Street 1:241 N. DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17579
Mailing Address - Country:US
Mailing Address - Phone:717-687-7534
Mailing Address - Fax:717-687-0341
Practice Address - Street 1:241 N. DECATUR ST
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:PA
Practice Address - Zip Code:17579
Practice Address - Country:US
Practice Address - Phone:717-687-7534
Practice Address - Fax:717-687-0341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S006099L207Q00000X
PASP007304363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1085595Medicaid
138587Medicare ID - Type Unspecified
PA1085595Medicaid