Provider Demographics
NPI:1366402802
Name:FINKEL, LENNY (DC)
Entity type:Individual
Prefix:
First Name:LENNY
Middle Name:
Last Name:FINKEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 PENNELL RD
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-1863
Mailing Address - Country:US
Mailing Address - Phone:610-497-3722
Mailing Address - Fax:610-497-3750
Practice Address - Street 1:4610 PENNELL RD
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-1863
Practice Address - Country:US
Practice Address - Phone:610-497-3722
Practice Address - Fax:610-497-3750
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004071L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0390924000OtherPERSONAL CHOCE-IBC
PA1265600Medicaid
PA569578OtherHIGHMARK BLUE SHIELD
PA596278OtherAETNA/US HEALTHCARE
PA0390924000OtherKEYSTONE HEALTH PLAN EAST
PAM15000Medicare UPIN
PA1265600Medicaid