Scicchitano, Tyler Isaac

Scicchitano, Tyler Isaac is an individual health care provider with primary practice located at 5 White Owl Ave , Mahanoy City PA 17948-3000. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Internal Medicine. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Scicchitano, Tyler Isaac can be contacted via phone (570) 773-5388.

Contact Information

Primary practice address
5 White Owl Ave Mahanoy City PA 17948-3000
Phone: (570) 773-5388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA060996 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA060996 Pennsylvania

Profile Details

NPI number 1730738709
LBN Legal business name Scicchitano, Tyler Isaac
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2019
Last updated Mar 16th, 2023 - about 3 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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