Fealk, Stuart J

Fealk, Stuart J is an individual health care provider with primary practice located at 104 W 5Th Ave Ste 230E, Spokane WA 99204-2483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fealk, Stuart J can be contacted via phone (509) 838-8561.

Contact Information

Primary practice address
104 W 5Th Ave Ste 230E Spokane WA 99204-2483
Fax: (509) 835-4058
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 19669 Washington

Profile Details

NPI number 1528071859
LBN Legal business name Fealk, Stuart J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Oct 23rd, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528071859 NPPES
Washington MEDICAID 8318305

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