Stish, Eugene R.

Stish, Eugene R. is an sole proprietor health care provider with primary practice located at 600 Penn St , West Hazleton PA 18202-1514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stish, Eugene R. can be contacted via phone (570) 497-4940.

Contact Information

Primary practice address
600 Penn St West Hazleton PA 18202-1514
Phone: (570) 497-4940
Fax: (570) 497-4942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD037411E Pennsylvania

Profile Details

NPI number 1891746962
LBN Legal business name Stish, Eugene R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2006
Last updated Mar 27th, 2017 - about 7 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 1891746962 NPPES
Other 182834 CAPITAL ADVANTAGE
Other 710941282 CAPITAL ADVANTAGE
Other 002708 CAPITAL ADVANTAGE
Other 182834 CAPITAL ADVANTAGE
Other 710941282 CAPITAL ADVANTAGE
Other 710941282 CAPITAL ADVANTAGE

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