Susanne C Stack in Spokane - Physician Assistant
Susanne C Stack - NPI 1730223637
Susanne C Stack is a Physician Assistant in Spokane, Washington. Susanne C Stack practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susanne C Stack is 1730223637. The last update date is 2007-07-08.
Susanne C Stack's current location address is Po Box 31297, Spokane, Washington. You can contact this provider via phone number 5094431668. The mailing address for Susanne C Stack is Po Box 31297, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanne C Stack |
|---|---|
| Address | Po Box 31297, Spokane, Washington |
| Phone Number | 5094431668 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1730223637 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 31297 |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992233021 |
| Phone Number | 5094431668 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004295 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA10004295 | WA | STATE LICENSE # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susanne C Stack?
The Susanne C Stack has been issued the NPI (National Provider Identifier) 1730223637 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Susanne C Stack is located?
The Susanne C Stack is situated at the following address: Po Box 31297, Spokane, WA, 992233021.
What is Susanne C Stack's area of expertise and its corresponding taxonomy classification?
The Susanne C Stack's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Susanne C Stack's 1730223637 issued?
The Susanne C Stack's 1730223637 was issued on 2007-02-16.
As of what date were the details pertaining to Susanne C Stack last refreshed?
The information related to the Susanne C Stack, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1073530762
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