Nottestad, Stephanie L

Nottestad, Stephanie L is an individual health care provider with primary practice located at 704 Katie Ct , Cambridge WI 53523-9308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nottestad, Stephanie L can be contacted via phone (608) 423-1100.

Contact Information

Primary practice address
704 Katie Ct Cambridge WI 53523-9308
Fax: (608) 423-9851
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46323-020 Wisconsin

Profile Details

NPI number 1457360760
LBN Legal business name Nottestad, Stephanie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 7th, 2023 - about last year

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 1457360760 NPPES
Wisconsin MEDICAID 34677000

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