Brosky, Stephen

Brosky, Stephen is an sole proprietor health care provider with primary practice located at 213 Amity Ave , Old Forge PA 18518-1034. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brosky, Stephen can be contacted via phone (570) 821-6190.

Contact Information

Primary practice address
213 Amity Ave Old Forge PA 18518-1034
Fax: (570) 821-6192
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP040035L Pennsylvania

Profile Details

NPI number 1104149434
LBN Legal business name Brosky, Stephen
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2010
Last updated Mar 1st, 2010 - about 15 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 1104149434 NPPES
Pennsylvania Other RP040035L STATE LICENSE RP-040035L

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