Haddock, Stacy

Haddock, Stacy is an individual health care provider with primary practice located at 690 3Rd St Ste 200 , Beloit WI 53511-6214. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Haddock, Stacy can be contacted via phone (608) 299-3316.

Contact Information

Primary practice address
690 3Rd St Ste 200 Beloit WI 53511-6214
Phone: (608) 299-3316
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 10927-16 Wisconsin

Profile Details

NPI number 1043637705
LBN Legal business name Haddock, Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2014
Last updated Mar 19th, 2014 - about 11 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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