Karbon, Staci M
Karbon, Staci M is an individual health care provider with primary practice located at 1630 Commanche Ave , Green Bay WI 54313-6089. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Karbon, Staci M can be contacted via phone (920) 430-4585.Contact Information
Primary practice address
1630 Commanche Ave
Green Bay WI 54313-6089
Phone: (920) 430-4585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 41332 | Wisconsin |
Profile Details
| NPI number | 1568446300 |
|---|---|
| LBN Legal business name | Karbon, Staci M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jul 18th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568446300 | NPPES |
| West Virginia | Other | 41332 | LICENSE |
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