Stodola, Debra S.

Stodola, Debra S. is an individual health care provider with primary practice located at 205 Maritime Dr , Manitowoc WI 54220-6826. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Stodola, Debra S. can be contacted via phone (920) 482-1516.

Contact Information

Primary practice address
205 Maritime Dr Manitowoc WI 54220-6826
Phone: (920) 482-1516
Fax: (920) 482-1581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10119-024 Wisconsin

Profile Details

NPI number 1831123397
LBN Legal business name Stodola, Debra S.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 5th, 2017 - about 7 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 1831123397 NPPES
Wisconsin MEDICAID 36106800
Wisconsin Other 001286035

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