Stasik, Daniel Matthew

Stasik, Daniel Matthew is an individual health care provider with primary practice located at 801 E Williams Ave , Fallon NV 89406-3052. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stasik, Daniel Matthew can be contacted via phone (775) 867-7740.

Contact Information

Primary practice address
801 E Williams Ave Fallon NV 89406-3052
Phone: (775) 867-7740
Fax: (775) 423-4219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1133 Nevada

Profile Details

NPI number 1528218765
LBN Legal business name Stasik, Daniel Matthew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2008
Last updated Mar 8th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528218765 NPPES
Other 12196146 CAQH

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