Ryan, Stacy
Ryan, Stacy is an individual health care provider with primary practice located at 10425 W North Ave Wauwatosa, Wauwatosa WI 53226-2416. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Ryan, Stacy can be contacted via phone (414) 607-1830.Contact Information
Primary practice address
10425 W North Ave Wauwatosa
Wauwatosa WI 53226-2416
Phone: (414) 607-1830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 486-156 | Wisconsin |
Profile Details
| NPI number | 1538192927 |
|---|---|
| LBN Legal business name | Ryan, Stacy |
| Credentials | AU.D., CCCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1538192927 | NPPES |
| Wisconsin | MEDICAID | 41153200 |
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