Stanko, John G
Stanko, John G is an individual health care provider with primary practice located at 702 Sw Ramsey Ave Ste 112 , Grants Pass OR 97527-5859. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Stanko, John G can be contacted via phone (541) 472-0603.Contact Information
Primary practice address
702 Sw Ramsey Ave Ste 112
Grants Pass OR 97527-5859
Phone: (541) 472-0603
Fax: (541) 472-0609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1558549709 |
|---|---|
| LBN Legal business name | Stanko, John G |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2008 |
| Last updated | Feb 11th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558549709 | NPPES |
| Oregon | MEDICAID | 500630894 |
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