Jack Stacker is a General Practice in Wausau, Wisconsin. Jack Stacker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Stacker is 1467519918. The last update date is 2007-07-08.
Jack Stacker's current location address is 705 S 24th Ave, Wausau, Wisconsin. You can contact this provider via phone number 7158423933 and fax number 7158483483. The mailing address for Jack Stacker is 705 S 24th Ave, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Stacker |
|---|---|
| Address | 705 S 24th Ave, Wausau, Wisconsin |
| Phone Number | 7158423933 |
| Fax Number | 7158483483 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467519918 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 705 S 24th Ave |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 544015242 |
| Phone Number | 7158423933 |
| Fax Number | 7158483483 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1378 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Post Comment/ Review Below
What is the unique identification code assigned to Jack Stacker by the Centers for Medicare & Medicaid Services?
The Jack Stacker has been issued the NPI (National Provider Identifier) 1467519918. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jack Stacker?
The Jack Stacker is situated at 705 S 24Th Ave, in the city of Wausau, state of WI, with the zip code 544015242.
What is Jack Stacker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack Stacker is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Jack Stacker receive its 1467519918 assignment from the Centers for Medicare & Medicaid Services?
The Jack Stacker was assigned its 1467519918 on 2007-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jack Stacker most recently updated or revised?
The information pertaining to Jack Stacker, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1093718199
Address: 1129 E Marion St, Shelby, NC
NPI Number: 1629071394
Address: 1901 S Union Ave, Tacoma, WA
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1386647683
Address: 3210 Jenks Ave, Panama City, FL