Skonieczki, Stanley Roberts
Skonieczki, Stanley Roberts is an individual health care provider with primary practice located at 1000 E Mountain Dr , Wilkes Barre PA 18711-0027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Skonieczki, Stanley Roberts can be contacted via phone (570) 808-7762.Contact Information
Primary practice address
1000 E Mountain Dr
Wilkes Barre PA 18711-0027
Phone: (570) 808-7762
Fax: (570) 808-6128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD050672L | Pennsylvania |
Profile Details
| NPI number | 1376518001 |
|---|---|
| LBN Legal business name | Skonieczki, Stanley Roberts |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376518001 | NPPES |
| Pennsylvania | Other | 10936602 | CAQH |
| Pennsylvania | MEDICAID | 0015972990010 | CAQH |
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