Provider Demographics
NPI:1396141115
Name:STRICKLER, JOHN CALVIN (PA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CALVIN
Last Name:STRICKLER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 EASTERN AVE STE 135
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:17225-1195
Mailing Address - Country:US
Mailing Address - Phone:717-597-3151
Mailing Address - Fax:717-597-8933
Practice Address - Street 1:50 EASTERN AVE STE 135
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-1195
Practice Address - Country:US
Practice Address - Phone:717-597-3151
Practice Address - Fax:717-597-8933
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA057306363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical