Andersen, Stacey L

Andersen, Stacey L is an individual health care provider with primary practice located at 5603 7Th Ave , Kenosha WI 53140. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Other Service Providers / Acupuncturist is her primary health care specialty. Andersen, Stacey L can be contacted via phone (262) 496-5642.

Contact Information

Primary practice address
5603 7Th Ave Kenosha WI 53140
Phone: (262) 496-5642
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 803-55 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 4199-146 Wisconsin

Profile Details

NPI number 1376970764
LBN Legal business name Andersen, Stacey L
Credentials LAC WI#803-55/ LMT W
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated Oct 1st, 2013 - 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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