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:
Health care specialties
Specialty | Code | License # | 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 6 months 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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