Stacks, Molly June

Stacks, Molly June is an individual health care provider with primary practice located at 2121 S State Route 157 , Edwardsville IL 62025-3691. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Stacks, Molly June can be contacted via phone (618) 656-7774.

Contact Information

Primary practice address
2121 S State Route 157 Edwardsville IL 62025-3691
Phone: (618) 656-7774
Fax: (618) 656-0536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X 046.011735 Illinois

Profile Details

NPI number 1164126793
LBN Legal business name Stacks, Molly June
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2023
Last updated Mar 11th, 2024 - 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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