Boland, Stanley W

Boland, Stanley W is an individual health care provider with primary practice located at 503 S State St , Clarks Summit PA 18411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Boland, Stanley W can be contacted via phone (570) 587-5186.

Contact Information

Primary practice address
503 S State St Clarks Summit PA 18411
Fax: (570) 586-7973
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD028117L Pennsylvania

Profile Details

NPI number 1215049069
LBN Legal business name Boland, Stanley W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215049069 NPPES
Other 072551 FIRST PRIORTIY HEALTH
Other 506554 FIRST PRIORTIY HEALTH
Other BO019514 FIRST PRIORTIY HEALTH
Other 16915 FIRST PRIORTIY HEALTH

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