Stack, Mark Oliver

Stack, Mark Oliver is an individual health care provider with primary practice located at 520 E Tulare Ave , Visalia CA 93292-3629. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Stack, Mark Oliver can be contacted via phone (559) 623-0900.

Contact Information

Primary practice address
520 E Tulare Ave Visalia CA 93292-3629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1528558624
LBN Legal business name Stack, Mark Oliver
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2018
Last updated May 14th, 2018 - about 7 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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