Provider Demographics
NPI:1063463057
Name:OLEWILER, HORACE N (MD)
Entity type:Individual
Prefix:DR
First Name:HORACE
Middle Name:N
Last Name:OLEWILER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 110B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:1 E ELIZABETH AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6522
Practice Address - Country:US
Practice Address - Phone:610-865-4131
Practice Address - Fax:484-403-4009
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD007710E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01055705OtherCAPITAL BLUE CROSS
PA018607OtherHIGHMARK PA BLUE SHIELD
PA0005923690001Medicaid
PA110118264OtherPALMETTO GBA MEDICARE
PA018607H9MMedicare PIN
PA01055705OtherCAPITAL BLUE CROSS
PAC27492Medicare UPIN