Stack-Sides, Christie Marie
Stack-Sides, Christie Marie is an individual health care provider with primary practice located at 6000 Laurel Bowie Rd Suite 203, Bowie MD 20715-4000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Stack-Sides, Christie Marie can be contacted via phone (301) 860-0237.Contact Information
Primary practice address
6000 Laurel Bowie Rd Suite 203
Bowie MD 20715-4000
Phone: (301) 860-0237
Fax: (301) 860-0076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 19776 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2999 | District of Columbia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305202173 | Virginia |
Profile Details
| NPI number | 1073512257 |
|---|---|
| LBN Legal business name | Stack-Sides, Christie Marie |
| Credentials | M.S.PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073512257 | NPPES |
| Other | 3324525 | AETNA HMO | |
| Other | 604729-04 | AETNA HMO | |
| Other | 7068079 | AETNA HMO |
Popular Providers
-
Van Iderstine, Candice Lea
15003 Health Center Dr , Bowie MD 20716-1017 -
Solomon-Irving, Deborah Annlyn
13711 Annapolis Rd Suite 102, Bowie MD 20720-3842 -
Gordon, Jennifer
14999 Health Center Dr Ste 201 , Bowie MD 20716-1087 -
Flagg, Kala
4367 Northview Dr , Bowie MD 20716-2603 -
White, Michael
1525 Pointer Ridge Pl #304, Bowie MD 20716-1833 -
Merrick, Michael Osei
14000 Jericho Park Rd , Bowie MD 20715-3319 -
Ketler, Lori Ann
100 White Marsh Park Dr , Bowie MD 20715-4361 -
Cohen, Eric M.
4367 Northview Drive , Bowie MD 20716