Shoemaker, Stephen N
Shoemaker, Stephen N is an sole proprietor health care provider with primary practice located at 217 E 9Th St 1St Floor, Hazleton PA 18201-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shoemaker, Stephen N can be contacted via phone (570) 453-2555.Contact Information
Primary practice address
217 E 9Th St 1St Floor
Hazleton PA 18201-3305
Phone: (570) 453-2555
Fax: (570) 453-1043
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS004601-L | Pennsylvania |
Profile Details
NPI number | 1780681262 |
---|---|
LBN Legal business name | Shoemaker, Stephen N |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 30th, 2005 |
Last updated | Dec 10th, 2009 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780681262 | NPPES |
Pennsylvania | MEDICAID | 0010714460004 | |
Pennsylvania | Other | 001874 | |
Pennsylvania | Other | 110160680 | |
Pennsylvania | Other | 010063200 | |
Pennsylvania | Other | 126801 |
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