Petrick, Stanley T
Petrick, Stanley T is an individual health care provider with primary practice located at 1201B North Church Street Suite 307, Hazle Township PA 18202-1453. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Petrick, Stanley T can be contacted via phone (570) 455-7108.Contact Information
Primary practice address
1201B North Church Street Suite 307
Hazle Township PA 18202-1453
Phone: (570) 455-7108
Fax: (570) 455-8835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT011725L | Pennsylvania |
Profile Details
| NPI number | 1881650281 |
|---|---|
| LBN Legal business name | Petrick, Stanley T |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 29th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881650281 | NPPES |
| Other | P00199564 | RAILROAD MEDICARE | |
| Other | 230232 | RAILROAD MEDICARE | |
| Other | 820635 | RAILROAD MEDICARE | |
| Other | 1230503 | RAILROAD MEDICARE | |
| Other | 50038360 | RAILROAD MEDICARE | |
| Other | PE176517 | RAILROAD MEDICARE |
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