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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHAD STACKPOLE

Active Sole Proprietor

CHAD STACKPOLE is a Community Health Worker healthcare provider located in FOLSOM, West Virginia. NPI 1568047074 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · FOLSOM, WV

Registration Details

NPI Number
1568047074
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2021 (5.4406866343618 yrs)
Last Updated
Mar 16, 2021
Sole Proprietor
Yes

Practice Information

Address
367 YOUNG HOLLOW RD
FOLSOM, WV, 263486044
Browse WV providers · Browse ZIP 26348
Phone
3043346361
Primary Specialty
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.