Stolldorf, Dean Edward

Stolldorf, Dean Edward is an individual health care provider with primary practice located at 441 Milwaukee Ave Ste 2 , Burlington WI 53105-1230. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Stolldorf, Dean Edward can be contacted via phone (262) 767-0440.

Contact Information

Primary practice address
441 Milwaukee Ave Ste 2 Burlington WI 53105-1230
Phone: (262) 767-0440
Fax: (262) 767-0777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1243057 Wisconsin

Profile Details

NPI number 1194789032
LBN Legal business name Stolldorf, Dean Edward
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Nov 2nd, 2010 - about 14 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 1194789032 NPPES
Wisconsin MEDICAID 39071100

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