Stack, Joan M.

Stack, Joan M. is an individual health care provider with primary practice located at 1801 E Main St , Rochester NY 14609-7402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / School, which is considered as her primary health care specialty. Stack, Joan M. can be contacted via phone (585) 288-1390.

Contact Information

Primary practice address
1801 E Main St Rochester NY 14609-7402
Phone: (585) 288-1390
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X 380332 New York

Profile Details

NPI number 1881765675
LBN Legal business name Stack, Joan M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 17 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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