Stack, Ian

Stack, Ian is an individual health care provider with primary practice located at 35 Memorial Dr , Pinehurst NC 28374-8708. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Stack, Ian can be contacted via phone (910) 715-7856.

Contact Information

Primary practice address
35 Memorial Dr Pinehurst NC 28374-8708
Phone: (910) 715-7856
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 103480 North Carolina

Profile Details

NPI number 1154590529
LBN Legal business name Stack, Ian
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2008
Last updated Feb 29th, 2008 - about 16 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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