Stack, Michael Lee

Stack, Michael Lee is an individual health care provider with primary practice located at 6215 Humphreys Blvd Ste 200 , Memphis TN 38120-2382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Stack, Michael Lee can be contacted via phone (901) 512-6086.

Contact Information

Primary practice address
6215 Humphreys Blvd Ste 200 Memphis TN 38120-2382
Phone: (901) 512-6086
Fax: (833) 450-5323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 28719 Tennessee

Profile Details

NPI number 1316943301
LBN Legal business name Stack, Michael Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 18th, 2024 - about 2 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 1316943301 NPPES
Other P00475770 RAILROAD MEDICARE
Other 4347596 RAILROAD MEDICARE
MEDICAID 3840616 RAILROAD MEDICARE

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