Stack, Colleen Marie

Stack, Colleen Marie is an individual health care provider with primary practice located at 137 Medical Ln , Pollocksville NC 28573-8200. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Stack, Colleen Marie can be contacted via phone (252) 633-1010.

Contact Information

Primary practice address
137 Medical Ln Pollocksville NC 28573-8200
Phone: (252) 633-1010
Fax: (252) 224-3071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2019-01393 North Carolina

Profile Details

NPI number 1245659226
LBN Legal business name Stack, Colleen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2014
Last updated Jul 3rd, 2019 - about 6 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.

Request for update

Popular Providers