Stacey, Jack Robert

Stacey, Jack Robert is an individual health care provider with primary practice located at 200 Mercy Circle , Oceanside CA 92055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Stacey, Jack Robert can be contacted via phone (760) 725-1288.

Contact Information

Primary practice address
200 Mercy Circle Oceanside CA 92055
Phone: (760) 725-1288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0101271348 Virginia

Profile Details

NPI number 1700317591
LBN Legal business name Stacey, Jack Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2017
Last updated Jun 23rd, 2023 - about 2 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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