Stack, Jay Irving
Stack, Jay Irving is an individual health care provider with primary practice located at 95 Madison Ave , Morristown NJ 07960-6092. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Stack, Jay Irving can be contacted via phone (973) 775-5151.Contact Information
Primary practice address
95 Madison Ave
Morristown NJ 07960-6092
Phone: (973) 775-5151
Fax: (908) 673-7336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 25MA03875700 | New Jersey |
Profile Details
| NPI number | 1245325026 |
|---|---|
| LBN Legal business name | Stack, Jay Irving |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Dec 20th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245325026 | NPPES |
| New Jersey | MEDICAID | 244970602 |
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