Stackhouse, Thomas Logan

Stackhouse, Thomas Logan is an individual health care provider with primary practice located at 2940 Squalicum Pkwy Ste 203, Bellingham WA 98225-1892. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Stackhouse, Thomas Logan can be contacted via phone (360) 733-0640.

Contact Information

Primary practice address
2940 Squalicum Pkwy Ste 203 Bellingham WA 98225-1892
Phone: (360) 733-0640
Fax: (360) 733-1034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MD00029527 Washington
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD00029527 Washington

Profile Details

NPI number 1467445494
LBN Legal business name Stackhouse, Thomas Logan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Apr 5th, 2021 - about 5 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 1467445494 NPPES
Washington MEDICAID 8137978

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