Stackhouse, Norman Russell

Stackhouse, Norman Russell is an individual health care provider with primary practice located at 9131 Piscataway Rd Suite 600, Clinton MD 20735-2508. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Stackhouse, Norman Russell can be contacted via phone (301) 868-0110.

Contact Information

Primary practice address
9131 Piscataway Rd Suite 600 Clinton MD 20735-2508
Phone: (301) 868-0110
Fax: (301) 856-0604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0000861 Maryland

Profile Details

NPI number 1053412569
LBN Legal business name Stackhouse, Norman Russell
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 9th, 2007 - about 19 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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