Stackhouse, Nathan Jon
Stackhouse, Nathan Jon is an individual health care provider with primary practice located at 2380 3Rd St , Bullhead City AZ 86429-5502. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Stackhouse, Nathan Jon can be contacted via phone (567) 224-8821.Contact Information
Primary practice address
2380 3Rd St
Bullhead City AZ 86429-5502
Phone: (567) 224-8821
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 3941434 | Arizona |
Profile Details
| NPI number | 1942497656 |
|---|---|
| LBN Legal business name | Stackhouse, Nathan Jon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Sep 26th, 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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