Sukenick, Jeffery Joseph

Sukenick, Jeffery Joseph is an individual health care provider with primary practice located at Route 940 Fam Bros Plaza, Pocono Summit PA 18346-0627. 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. Sukenick, Jeffery Joseph can be contacted via phone (570) 839-8818.

Contact Information

Primary practice address
Route 940 Fam Bros Plaza Pocono Summit PA 18346-0627
Phone: (570) 839-8818
Fax: (570) 839-9140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT013626L Pennsylvania

Profile Details

NPI number 1881692614
LBN Legal business name Sukenick, Jeffery Joseph
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
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 1881692614 NPPES
Pennsylvania MEDICAID 0018196280001

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