Shoemaker, Stephen N

Shoemaker, Stephen N is an sole proprietor health care provider with primary practice located at 217 E 9Th St 1St Floor, Hazleton PA 18201-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shoemaker, Stephen N can be contacted via phone (570) 453-2555.

Contact Information

Primary practice address
217 E 9Th St 1St Floor Hazleton PA 18201-3305
Phone: (570) 453-2555
Fax: (570) 453-1043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS004601-L Pennsylvania

Profile Details

NPI number 1780681262
LBN Legal business name Shoemaker, Stephen N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Dec 10th, 2009 - 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 1780681262 NPPES
Pennsylvania MEDICAID 0010714460004
Pennsylvania Other 001874
Pennsylvania Other 110160680
Pennsylvania Other 010063200
Pennsylvania Other 126801

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