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
Fax: (541) 472-0609
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558549709 NPPES
Oregon MEDICAID 500630894

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