Stake, Sharon L.

Stake, Sharon L. is an individual health care provider with primary practice located at 3524 E Milwaukee St , Janesville WI 53546-1626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stake, Sharon L. can be contacted via phone (608) 756-7100.

Contact Information

Primary practice address
3524 E Milwaukee St Janesville WI 53546-1626
Phone: (608) 756-7100
Fax: (608) 756-4700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32621-20 Wisconsin

Profile Details

NPI number 1942271846
LBN Legal business name Stake, Sharon L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 25th, 2024 - about 2 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 1942271846 NPPES
Wisconsin MEDICAID 31767100

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