Stanko, Nicole

Stanko, Nicole is an individual health care provider with primary practice located at 625 Lincoln Ave Professional Plaza Suite 107, Charleroi PA 15022-2451. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Stanko, Nicole can be contacted via phone (724) 483-4886.

Contact Information

Primary practice address
625 Lincoln Ave Professional Plaza Suite 107 Charleroi PA 15022-2451
Fax: (724) 483-0519
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT015429 Pennsylvania

Profile Details

NPI number 1497784979
LBN Legal business name Stanko, Nicole
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 9th, 2007 - about 19 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 1497784979 NPPES
Pennsylvania MEDICAID 0015935850001

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