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Contact Information

JOHN D STACK, PA
1611 FEATHER RIVER BLVD
SUITE #10
OROVILLE, CA98685
 Phone: 530-534-4530
 Fax: 530-532-8290
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN D STACK · (Male)

NPI # 1629170592
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/02/2006
Last updated 02/11/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA13683
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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