Stefanick, Patti Ann

Stefanick, Patti Ann is an sole proprietor health care provider with primary practice located at 939 Menoher Blvd , Johnstown PA 15905-2838. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Stefanick, Patti Ann can be contacted via phone (814) 255-7882.

Contact Information

Primary practice address
939 Menoher Blvd Johnstown PA 15905-2838
Phone: (814) 255-7882
Fax: (814) 255-7885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS 005514L Pennsylvania

Profile Details

NPI number 1548266950
LBN Legal business name Stefanick, Patti Ann
Credentials D.O., F.A.C.O.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
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 1548266950 NPPES
Pennsylvania MEDICAID 0011830210001
Pennsylvania Other ST469423

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