Stack, Robert Michael

Stack, Robert Michael is an individual health care provider with primary practice located at 675 Avenida De Mesilla , Las Cruces NM 88005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stack, Robert Michael can be contacted via phone (505) 525-3535.

Contact Information

Primary practice address
675 Avenida De Mesilla Las Cruces NM 88005
Fax: (505) 527-0217
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 78268 New Mexico

Profile Details

NPI number 1134111461
LBN Legal business name Stack, Robert Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Oct 29th, 2007 - about 17 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 1134111461 NPPES
New Mexico Other 26210 PRESBYTERIAN
New Mexico Other 16010 PRESBYTERIAN
New Mexico Other 2666 PRESBYTERIAN
New Mexico Other 0761430001 PRESBYTERIAN
New Mexico Other 39445593 PRESBYTERIAN
New Mexico Other 88005C005 PRESBYTERIAN

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