Stackhouse, Johnny Dale

Stackhouse, Johnny Dale is an individual health care provider with primary practice located at 910 S Donahue Dr , Auburn AL 36832-2975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stackhouse, Johnny Dale can be contacted via phone (334) 442-4012.

Contact Information

Primary practice address
910 S Donahue Dr Auburn AL 36832-2975
Phone: (334) 442-4012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO.1476 Alabama

Profile Details

NPI number 1952569626
LBN Legal business name Stackhouse, Johnny Dale
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Jul 14th, 2016 - about 9 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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