Stock, Debra M

Stock, Debra M is an individual health care provider with primary practice located at 480 Chadbourne Rd , Fairfield CA 94534-9639. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Stock, Debra M can be contacted via phone (707) 399-4500.

Contact Information

Primary practice address
480 Chadbourne Rd Fairfield CA 94534-9639
Phone: (707) 399-4500
Fax: (707) 399-9419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16490 California

Profile Details

NPI number 1376623215
LBN Legal business name Stock, Debra M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated May 10th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376623215 NPPES
California MEDICAID PA16490

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