Staskiewicz, Thomas B

Staskiewicz, Thomas B is an sole proprietor health care provider with primary practice located at 4 Robinhood Dr , Cranberry Twp PA 16066. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Staskiewicz, Thomas B can be contacted via phone (724) 776-3033.

Contact Information

Primary practice address
4 Robinhood Dr Cranberry Twp PA 16066
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000448 Pennsylvania

Profile Details

NPI number 1184602229
LBN Legal business name Staskiewicz, Thomas B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated Mar 29th, 2012 - about 12 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 1184602229 NPPES
Pennsylvania MEDICAID 1259872

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