Roberta Ann Stack in Waltham - Chiropractor
Roberta Ann Stack - NPI 1588711766
Roberta Ann Stack is a Chiropractor in Waltham, Massachusetts. Roberta Ann Stack practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Roberta Ann Stack is 1588711766. The last update date is 2007-07-08.
Roberta Ann Stack's current location address is 42 Weston St, Waltham, Massachusetts. You can contact this provider via phone number 7818911722. The mailing address for Roberta Ann Stack is 42 Weston St, Waltham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roberta Ann Stack |
|---|---|
| Address | 42 Weston St, Waltham, Massachusetts |
| Phone Number | 7818911722 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1588711766 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 42 Weston St |
|---|---|
| City | Waltham |
| State | Massachusetts (MA) |
| Post Code | 24537756 |
| Phone Number | 7818911722 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH 706 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y35525 | MA | BCBSMA |
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What is the unique identifier code issued to Roberta Ann Stack by the Centers for Medicare & Medicaid Services?
The Roberta Ann Stack has been assigned the NPI (National Provider Identifier) 1588711766. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Roberta Ann Stack is physically located?
The Roberta Ann Stack is physically situated at the following address: 42 Weston St, Waltham, MA, 24537756.
What is Roberta Ann Stack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Roberta Ann Stack is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did Roberta Ann Stack receive its 1588711766 assignment from the Centers for Medicare & Medicaid Services?
The Roberta Ann Stack was assigned its 1588711766 on 2007-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Roberta Ann Stack most recently updated?
The details pertaining to the Roberta Ann Stack, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.