Deis, Stephanie Gloria

Deis, Stephanie Gloria is an individual health care provider with primary practice located at 1330 Okeeffe Ave Apt 113 , Sun Prairie WI 53590-4229. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Deis, Stephanie Gloria can be contacted via phone (612) 309-2062.

Contact Information

Primary practice address
1330 Okeeffe Ave Apt 113 Sun Prairie WI 53590-4229
Phone: (612) 309-2062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 6721-26 Wisconsin

Profile Details

NPI number 1477162022
LBN Legal business name Deis, Stephanie Gloria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2020
Last updated Jul 29th, 2020 - about 4 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 1477162022 NPPES
Wisconsin Other 6721-26 STATE OF WISCONSIN
Wisconsin Other 435982 STATE OF WISCONSIN

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