Stachura, John Joseph

Stachura, John Joseph is an individual health care provider with primary practice located at 1060 Niagara Falls Blvd Suite 5, Tonawanda NY 14150-9300. 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. Stachura, John Joseph can be contacted via phone (716) 836-2225.

Contact Information

Primary practice address
1060 Niagara Falls Blvd Suite 5 Tonawanda NY 14150-9300
Phone: (716) 836-2225
Fax: (716) 836-2712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 006675-1 New York

Profile Details

NPI number 1265472559
LBN Legal business name Stachura, John Joseph
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1265472559 NPPES
New York Other 0065581 GHI
New York Other 000610513001 GHI
New York MEDICAID 01111215 GHI
New York Other 00011175401 GHI

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