Stackhouse, Thomas G

Stackhouse, Thomas G is an individual health care provider with primary practice located at 200 Bowman Dr Suite E-100, Voorhees NJ 08043-9623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Stackhouse, Thomas G can be contacted via phone (609) 267-9400.

Contact Information

Primary practice address
200 Bowman Dr Suite E-100 Voorhees NJ 08043-9623
Phone: (609) 267-9400
Fax: (609) 267-9457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X MA46176 New Jersey
Other Service Providers / Specialist 174400000X MA46176 New Jersey

Profile Details

NPI number 1578659082
LBN Legal business name Stackhouse, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 23rd, 2015 - about 11 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 1578659082 NPPES
New Jersey Other 6569F02206 1ST OPTION
New Jersey Other BNS012 1ST OPTION
New Jersey Other 0065218 1ST OPTION
New Jersey Other 3730395B 1ST OPTION
New Jersey Other 157012 1ST OPTION
New Jersey Other 0090628000 1ST OPTION
New Jersey Other 2K1291 1ST OPTION
New Jersey Other 4090523 1ST OPTION
New Jersey Other 1243672 1ST OPTION
New Jersey Other 0090628000 1ST OPTION

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