Stack, Norman Shawn

Stack, Norman Shawn is an individual health care provider with primary practice located at 600 Glen Ave Ste 203 , Salisbury MD 21804-5250. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Stack, Norman Shawn can be contacted via phone (410) 749-4154.

Contact Information

Primary practice address
600 Glen Ave Ste 203 Salisbury MD 21804-5250
Phone: (410) 749-4154
Fax: (410) 860-9583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1881704567
LBN Legal business name Stack, Norman Shawn
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 27th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881704567 NPPES
Maryland Other A2330 LICENSE #

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