National Provider Identifier Database

JOHN W STEFOVIC, MD – NPI #1124193743
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

JOHN W STEFOVIC, MD
530 CENTRE STREET
ASHLAND, PA17921
Phone: 570-875-0700
Fax: 570-875-1279
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for JOHN W STEFOVIC

NPI Number 1124193743
Credentials MD
Entity Individual
Enumeration date 11/21/2006
Last updated 10/12/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • PA License #: MD-034546-E
  • PA Medicaid: 0014134440008
  • Other: 03267500 KEYSTONE SENIOR BLUE
  • PA Other: 010001700 BLACK LUNG
  • PA Other: 03267500 CAPITAL BLUE CROSS
  • PA Other: 0171850 HIGHMARK BLUE SHIELD
  • PA Other: 080122224 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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