Stanko, Heather Alissa

Stanko, Heather Alissa is an individual health care provider with primary practice located at 725 S Webster Suite 201 Neurology Consultants, Green Bay WI 54301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Stanko, Heather Alissa can be contacted via phone (920) 430-7100.

Contact Information

Primary practice address
725 S Webster Suite 201 Neurology Consultants Green Bay WI 54301
Fax: (920) 430-7114
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 41491 Wisconsin

Profile Details

NPI number 1235164229
LBN Legal business name Stanko, Heather Alissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 5th, 2015 - about 9 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 1235164229 NPPES
Wisconsin MEDICAID 34469200

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