1336199611 NPI number — DR. STEVEN FLEISHER D.C.

Table of content: DR. STEVEN FLEISHER D.C. (NPI 1336199611)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336199611 NPI number — DR. STEVEN FLEISHER D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLEISHER
Provider First Name:
STEVEN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336199611
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/23/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1794 MORGAN LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLLEGEVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19426-2877
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-390-1802
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
364 E MAIN ST STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLLEGEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19426-2715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-902-8550
Provider Business Practice Location Address Fax Number:
484-902-8563
Provider Enumeration Date:
05/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC-003552-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0865929000 . This is a "IBC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 543779 . This is a "HIGHMARK BS" identifier . This identifiers is of the category "OTHER".




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