Stish Family Practice Pc

LBN: Stish Family Practice Pc
Stish Family Practice Pc is an health care organization with primary practice located at 600 Penn St , West Hazleton PA 18202-1514. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Stish Family Practice Pc can be contacted via phone (570) 497-4940, or through Stish, Eugene via phone (570) 788-1108.

Contact Information

Primary practice address
600 Penn St West Hazleton PA 18202-1514
Phone: (570) 497-4940
Fax: (570) 497-4942
Website:
Map and Directions
Authorized official contact:
Name: Stish, Eugene Doctor of Medicine (MD)
Phone: (570) 788-1108

Health care specialties

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

Profile Details

NPI number 1992732689
LBN Legal business name Stish Family Practice Pc
DBA Doing business as
Authorized official Stish, Eugene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 28th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992732689 NPPES
Pennsylvania Other 514293 PA BLUE SHIELD
Pennsylvania Other 002708 PA BLUE SHIELD

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