Stover, Paul Michael
Stover, Paul Michael is an individual health care provider with primary practice located at 2806 Riverview Dr , Green Bay WI 54313-6717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Stover, Paul Michael can be contacted via phone (920) 498-7546.Contact Information
Primary practice address
2806 Riverview Dr
Green Bay WI 54313-6717
Phone: (920) 498-7546
Fax: (920) 569-4129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 38944-020 | Wisconsin |
Profile Details
| NPI number | 1548264336 |
|---|---|
| LBN Legal business name | Stover, Paul Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1548264336 | NPPES |
| Wisconsin | Other | 000817140 | MEDICARE |
| Wisconsin | MEDICAID | 1548264336 | MEDICARE |
| Wisconsin | Other | P00338098 | MEDICARE |
| Wisconsin | Other | 38944-020 | MEDICARE |
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