Graham, Stefanie M

Graham, Stefanie M is an individual health care provider with primary practice located at 2405 Northwestern Ave , Racine WI 53404-2534. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Graham, Stefanie M can be contacted via phone (262) 886-0474.

Contact Information

Primary practice address
2405 Northwestern Ave Racine WI 53404-2534
Fax: (252) 886-1672
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 10535-016 Wisconsin

Profile Details

NPI number 1154557643
LBN Legal business name Graham, Stefanie M
Credentials HYGIENIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2009
Last updated Jun 10th, 2009 - about 16 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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