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
Phone: (608) 423-1100
Fax: (608) 423-9851
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457360760 | NPPES |
Wisconsin | MEDICAID | 34677000 |
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