Buchholtz, Stephanie Marie

Buchholtz, Stephanie Marie is an individual health care provider with primary practice located at 4923 Big Bend Rd , Waterford WI 53185-3542. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Buchholtz, Stephanie Marie can be contacted via phone (262) 534-4963.

Contact Information

Primary practice address
4923 Big Bend Rd Waterford WI 53185-3542
Phone: (262) 534-4963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 97425-030 Wisconsin

Profile Details

NPI number 1194818500
LBN Legal business name Buchholtz, Stephanie Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1194818500 NPPES
Wisconsin Other 39850400 RN PRIVATE DUTY

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