Brown, Stephanie M

Brown, Stephanie M is an individual health care provider with primary practice located at 3400 Market Ln , Kenosha WI 53144-3430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Brown, Stephanie M can be contacted via phone (262) 551-4600.

Contact Information

Primary practice address
3400 Market Ln Kenosha WI 53144-3430
Phone: (262) 551-4600
Fax: (262) 551-4630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 8765-33 Wisconsin

Profile Details

NPI number 1891260543
LBN Legal business name Brown, Stephanie M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2018
Last updated Apr 15th, 2019 - 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 1891260543 NPPES
Wisconsin MEDICAID 1891260543
Wisconsin Other K400519234

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