Stack, Peter J.

Stack, Peter J. is an individual health care provider with primary practice located at 134 Thurbers Ave , Providence RI 02905-4754. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Stack, Peter J. can be contacted via phone (401) 331-1350.

Contact Information

Primary practice address
134 Thurbers Ave Providence RI 02905-4754
Phone: (401) 331-1350
Fax: (401) 277-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT00331 Rhode Island

Profile Details

NPI number 1528318631
LBN Legal business name Stack, Peter J.
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2012
Last updated Sep 11th, 2013 - about 12 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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