Petrick, Stanley T

Petrick, Stanley T is an individual health care provider with primary practice located at 1201B North Church Street Suite 307, Hazle Township PA 18202-1453. 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. Petrick, Stanley T can be contacted via phone (570) 455-7108.

Contact Information

Primary practice address
1201B North Church Street Suite 307 Hazle Township PA 18202-1453
Phone: (570) 455-7108
Fax: (570) 455-8835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT011725L Pennsylvania

Profile Details

NPI number 1881650281
LBN Legal business name Petrick, Stanley T
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 29th, 2010 - about 16 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 1881650281 NPPES
Other P00199564 RAILROAD MEDICARE
Other 230232 RAILROAD MEDICARE
Other 820635 RAILROAD MEDICARE
Other 1230503 RAILROAD MEDICARE
Other 50038360 RAILROAD MEDICARE
Other PE176517 RAILROAD MEDICARE

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