Dalcerro, Stephen Paul

Dalcerro, Stephen Paul is an individual health care provider with primary practice located at 409 Cty Rd R , Black River Falls WI 54615. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Dalcerro, Stephen Paul can be contacted via phone (715) 284-9477.

Contact Information

Primary practice address
409 Cty Rd R Black River Falls WI 54615
Fax: (715) 284-5547
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 1949-057 Wisconsin

Profile Details

NPI number 1477612836
LBN Legal business name Dalcerro, Stephen Paul
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2010 - about 15 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 1477612836 NPPES
Minnesota Other 180056 UCARE
Minnesota Other 49948 UCARE
Minnesota MEDICAID 39683800 UCARE

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