Pancoast, Stephen J

Pancoast, Stephen J is an individual health care provider with primary practice located at 743 Jefferson Ave Ste 104 , Scranton PA 18510-1636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Pancoast, Stephen J can be contacted via phone (570) 342-5253.

Contact Information

Primary practice address
743 Jefferson Ave Ste 104 Scranton PA 18510-1636
Fax: (570) 342-6038
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD 0022176E Pennsylvania

Profile Details

NPI number 1508850488
LBN Legal business name Pancoast, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 21st, 2022 - about 2 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 1508850488 NPPES
Pennsylvania MEDICAID 000727844

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