- Practice location
- 17644 Coastal Hwy #6, Lewes, DE 19958
- Phone
- 877-425-7756
- Fax
- —
- Last updated
- April 10, 2023
Jason Staback is a Dermatology based in Lewes, DE. Jason Staback practices in Lewes, DE and has the professional credentials of PA-C. The NPI Number for Jason Staback is 1750331948 and holds a License No. 25MP00051300 (NJ). The current practice location address for Jason Staback is 17644 Coastal Hwy #6, Lewes, DE 19958 and can be reached out via phone at 877-425-7756.
Provider Profile Details
- NPI Number
- 1750331948
- Provider Name
- Jason Staback
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 17644 Coastal Hwy #6, Lewes, DE 19958
- Phone Number
- 877-425-7756
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 11, 2006
- Last Update Date
- April 10, 2023
- Certification Date
- April 10, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17644 Coastal Hwy #6
Lewes, DE 19958 - City
- Lewes
- State
- Delaware
- Zip
- 19958
- Phone Number
- 877-425-7756
Provider Business Mailing Address Details
- Address
- 17644 Coastal Hwy #6
Lewes, DE 19958 - City
- Lewes
- State
- DE
- Zip
- 19958
- Phone Number
- 877-425-7756
License Information
- License Number
- 25MP00051300
- License State
- NJ
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Mrs. Denise Tetzner, FNPCNurse Practitioner · NPI 1265813794
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Frequently Asked Questions
What is the NPI number of Mr. Jason Staback, PA-C?
The NPI number of Mr. Jason Staback, PA-C is 1750331948. It was assigned on May 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Jason Staback, PA-C?
Mr. Jason Staback, PA-C is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MP00051300.
Where does Mr. Jason Staback, PA-C practice?
The practice location is 17644 Coastal Hwy #6, Lewes, DE 19958. The office can be reached at 877-425-7756 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750331948 directly on the NPPES registry website.