National Provider Identifier Database

KEYSTONE FUNCTIONAL MEDICINE PC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

KEYSTONE FUNCTIONAL MEDICINE, PC
1689 CROWN AVE STE 5
LANCASTER, PA17601
Phone: 717-273-3741
Fax: 717-585-6794
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for KEYSTONE FUNCTIONAL MEDICINE, PC

NPI Number 1962911750
Legal business name
LBN
KEYSTONE FUNCTIONAL MEDICINE, PC
Authorized official ADAM SECHRIST - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/25/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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