Stackhouse, Julie

Stackhouse, Julie is an individual health care provider with primary practice located at 1528 Eureka Rd Ste 103 , Roseville CA 95661-3047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Stackhouse, Julie can be contacted via phone (916) 772-5325.

Contact Information

Primary practice address
1528 Eureka Rd Ste 103 Roseville CA 95661-3047
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 16221 California

Profile Details

NPI number 1447275268
LBN Legal business name Stackhouse, Julie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 7th, 2023 - about last year

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 1447275268 NPPES
California Other 16221 PHYSICIAN ASSISTANT

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