Stafford, Michelle S

Stafford, Michelle S is an sole proprietor health care provider with primary practice located at 3333 S Sunnyslope Rd 108, New Berlin WI 53151-4502. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Stafford, Michelle S can be contacted via phone (262) 785-1811.

Contact Information

Primary practice address
3333 S Sunnyslope Rd 108 New Berlin WI 53151-4502
Fax: (262) 785-9887
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3258 Wisconsin

Profile Details

NPI number 1477510949
LBN Legal business name Stafford, Michelle S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated Dec 29th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477510949 NPPES
Wisconsin MEDICAID 38921800

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