Stacks, Timothy Kyle

Stacks, Timothy Kyle is an individual health care provider with primary practice located at 100 Brewster Blvd Naval Hospital Camp Lejeune, Camp Lejeune NC 28547-2538. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stacks, Timothy Kyle can be contacted via phone (910) 450-4791.

Contact Information

Primary practice address
100 Brewster Blvd Naval Hospital Camp Lejeune Camp Lejeune NC 28547-2538
Phone: (910) 450-4791
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 149855 North Carolina

Profile Details

NPI number 1447224936
LBN Legal business name Stacks, Timothy Kyle
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 18 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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