Stava, Lawrence James

Stava, Lawrence James is an individual health care provider with primary practice located at 705 W Main St Suite 3, Sun Prairie WI 53590-2849. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Stava, Lawrence James can be contacted via phone (608) 825-6663.

Contact Information

Primary practice address
705 W Main St Suite 3 Sun Prairie WI 53590-2849
Phone: (608) 825-6663
Fax: (608) 825-6946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 966-057 Wisconsin

Profile Details

NPI number 1215028311
LBN Legal business name Stava, Lawrence James
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215028311 NPPES
Wisconsin Other 1011066 PHYSICIAN PLUS INSURANCE
Wisconsin MEDICAID 39030200 PHYSICIAN PLUS INSURANCE
Wisconsin Other 39172774704 PHYSICIAN PLUS INSURANCE

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