J. Thomas Stack, Ph.D., Pa
LBN: J. Thomas Stack, Ph.D., Pa
J. Thomas Stack, Ph.D., Pa is an health care organization with primary practice located at 2444 Commerce Rd , Jacksonville NC 28546-7560. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
J. Thomas Stack, Ph.D., Pa can be contacted via phone (910) 347-5511, or through Stack, J Thomas via phone (910) 347-5511.
Contact Information
Primary practice address
2444 Commerce Rd
Jacksonville NC 28546-7560
Phone: (910) 347-5511
Fax: (910) 346-3970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 0321 | North Carolina |
Profile Details
| NPI number | 1962519165 |
|---|---|
| LBN Legal business name | J. Thomas Stack, Ph.D., Pa |
| DBA Doing business as | |
| Authorized official | Stack, J Thomas PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962519165 | NPPES |
| North Carolina | MEDICAID | 6000016 | |
| North Carolina | Other | 0320667 | |
| North Carolina | Other | 8D26D8F5BE |
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