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 |
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