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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598707747 NPPES
California MEDICAID 00G542910

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