Bisenius, Stacey Lee

Bisenius, Stacey Lee is an individual health care provider with primary practice located at 15397 State Hwy 32 , Lakewood WI 54138. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bisenius, Stacey Lee can be contacted via phone (715) 276-6321.

Contact Information

Primary practice address
15397 State Hwy 32 Lakewood WI 54138
Phone: (715) 276-6321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 6563016 Wisconsin

Profile Details

NPI number 1386708378
LBN Legal business name Bisenius, Stacey Lee
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1386708378 NPPES
Wisconsin MEDICAID 33805900

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