David Ray Stackhouse in Denville - Clinical
David Ray Stackhouse - NPI 1619038502
David Ray Stackhouse is a Clinical in Denville, New Jersey. David Ray Stackhouse practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Ray Stackhouse is 1619038502. The last update date is 2017-12-27.
David Ray Stackhouse's current location address is 76 Broadway, Denville, New Jersey. You can contact this provider via phone number 9738869701. The mailing address for David Ray Stackhouse is 76 Broadway, Denville, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Ray Stackhouse |
|---|---|
| Address | 76 Broadway, Denville, New Jersey |
| Phone Number | 9738869701 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1619038502 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2017-12-27 |
Provider Mailing Address Detail
| Address | 76 Broadway |
|---|---|
| City | Denville |
| State | New Jersey (NJ) |
| Post Code | 78342764 |
| Phone Number | 9738869701 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC00844700 |
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What is the unique 10-digit identifier code issued to David Ray Stackhouse by the Centers for Medicare & Medicaid Services?
The David Ray Stackhouse has been assigned the NPI (National Provider Identifier) 1619038502 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the David Ray Stackhouse's physical address?
The David Ray Stackhouse is physically located at 76 Broadway, in the city of Denville, NJ, with the postal code 78342764.
What is the David Ray Stackhouse's specialty and taxonomy code?
The David Ray Stackhouse's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619038502 to David Ray Stackhouse?
The Centers for Medicare & Medicaid Services originally issued the 1619038502 to David Ray Stackhouse on 2006-12-13.
As of what date were the details related to David Ray Stackhouse most recently updated or revised?
The information pertaining to David Ray Stackhouse, including its address, specialty, and other relevant details, was last updated or revised on 2017-12-27.