Stefanick, Patti Ann
Stefanick, Patti Ann is an sole proprietor health care provider with primary practice located at 939 Menoher Blvd , Johnstown PA 15905-2838. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Stefanick, Patti Ann can be contacted via phone (814) 255-7882.Contact Information
Primary practice address
939 Menoher Blvd
Johnstown PA 15905-2838
Phone: (814) 255-7882
Fax: (814) 255-7885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | OS 005514L | Pennsylvania |
Profile Details
| NPI number | 1548266950 |
|---|---|
| LBN Legal business name | Stefanick, Patti Ann |
| Credentials | D.O., F.A.C.O.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548266950 | NPPES |
| Pennsylvania | MEDICAID | 0011830210001 | |
| Pennsylvania | Other | ST469423 |
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