Sukenick, Jeffery Joseph
Sukenick, Jeffery Joseph is an individual health care provider with primary practice located at Route 940 Fam Bros Plaza, Pocono Summit PA 18346-0627. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sukenick, Jeffery Joseph can be contacted via phone (570) 839-8818.Contact Information
Primary practice address
Route 940 Fam Bros Plaza
Pocono Summit PA 18346-0627
Phone: (570) 839-8818
Fax: (570) 839-9140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT013626L | Pennsylvania |
Profile Details
| NPI number | 1881692614 |
|---|---|
| LBN Legal business name | Sukenick, Jeffery Joseph |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881692614 | NPPES |
| Pennsylvania | MEDICAID | 0018196280001 |
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