Stackpole, Jonathan
Stackpole, Jonathan is an individual health care provider with primary practice located at 23625 Holman Highway , Monterey CA 93940-5902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Stackpole, Jonathan can be contacted via phone (831) 624-5311.Contact Information
Primary practice address
23625 Holman Highway
Monterey CA 93940-5902
Phone: (831) 624-5311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A68879 | California |
Profile Details
| NPI number | 1558347179 |
|---|---|
| LBN Legal business name | Stackpole, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Dec 29th, 2011 - about 13 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 | 1558347179 | NPPES |
| California | Other | 00A688790 | BLUE SHIELD OF CA |
| California | MEDICAID | 00A688790 | BLUE SHIELD OF CA |
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