Stachelek, Conrad J

Stachelek, Conrad J is an individual health care provider with primary practice located at 2508 Myrtle Street Suite 100, Erie PA 16505-2700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Stachelek, Conrad J can be contacted via phone (814) 452-5400.

Contact Information

Primary practice address
2508 Myrtle Street Suite 100 Erie PA 16505-2700
Phone: (814) 452-5400
Fax: (814) 454-2003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X MD049426L Pennsylvania
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD049426 Pennsylvania

Profile Details

NPI number 1104822543
LBN Legal business name Stachelek, Conrad J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Oct 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104822543 NPPES
Pennsylvania MEDICAID 001411566

Popular Providers