Stillwell, Scott M
Stillwell, Scott M is an individual health care provider with primary practice located at 1500 Heritage Rd Ste A , De Pere WI 54115-4017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stillwell, Scott M can be contacted via phone (920) 605-3115.Contact Information
Primary practice address
1500 Heritage Rd Ste A
De Pere WI 54115-4017
Phone: (920) 605-3115
Fax: (920) 486-6826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27813 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27813-020 | Wisconsin |
Profile Details
| NPI number | 1134185945 |
|---|---|
| LBN Legal business name | Stillwell, Scott M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Mar 18th, 2021 - about 3 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 | 1134185945 | NPPES |
| Wisconsin | MEDICAID | 31379700 |
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