Stack, Richard Robert
Stack, Richard Robert is an individual health care provider with primary practice located at 6403 Coyle Ave Suite 450, Carmichael CA 95608-0311. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Stack, Richard Robert can be contacted via phone (916) 482-7621.Contact Information
Primary practice address
6403 Coyle Ave Suite 450
Carmichael CA 95608-0311
Phone: (916) 482-7621
Fax: (916) 972-7734
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | G54291 | California |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G54291 | California |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | G54291 | California |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G54291 | California |
Profile Details
NPI number | 1598707747 |
---|---|
LBN Legal business name | Stack, Richard Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2006 |
Last updated | Jan 17th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598707747 | NPPES |
California | MEDICAID | 00G542910 |
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