Stack, Jeanette

Stack, Jeanette is an sole proprietor health care provider with primary practice located at 984 N Meridian Pl Ste A , Wasilla AK 99654-7215. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Stack, Jeanette can be contacted via phone (907) 631-4029.

Contact Information

Primary practice address
984 N Meridian Pl Ste A Wasilla AK 99654-7215
Phone: (907) 631-4029
Fax: (907) 631-4128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA 00014238 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 101955 Alaska

Profile Details

NPI number 1548407497
LBN Legal business name Stack, Jeanette
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2009
Last updated Oct 24th, 2018 - 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.

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