Mielnicki, Stanley

Mielnicki, Stanley is an individual health care provider with primary practice located at 5221 Milford Rd , East Stroudsburg PA 18302-9149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mielnicki, Stanley can be contacted via phone (570) 588-6197.

Contact Information

Primary practice address
5221 Milford Rd East Stroudsburg PA 18302-9149
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD038202E Pennsylvania

Profile Details

NPI number 1093892192
LBN Legal business name Mielnicki, Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 22nd, 2014 - about 10 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 1093892192 NPPES
Pennsylvania MEDICAID 0016678300001

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