Vandenput, Stacy L
Vandenput, Stacy L is an sole proprietor health care provider with primary practice located at 1638 Deckner Ave Apartment One, Green Bay WI 54302-2640. She recently has 6 registered licenses in different health care specialties including Other Service Providers / Midwife, Nursing Service Related Providers / Doula, Other Service Providers / Lactation Consultant, Non-RN, Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Health Educator. Other Service Providers / Midwife is her primary health care specialty. Vandenput, Stacy L can be contacted via phone (920) 562-9058.Contact Information
Primary practice address
1638 Deckner Ave Apartment One
Green Bay WI 54302-2640
Phone: (920) 562-9058
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Midwife | 176B00000X | 31-049 | Wisconsin |
Nursing Service Related Providers / Doula | 374J00000X | ||
Other Service Providers / Lactation Consultant, Non-RN | 174N00000X | ||
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Health Educator | 174H00000X |
Profile Details
NPI number | 1316208044 |
---|---|
LBN Legal business name | Vandenput, Stacy L |
Credentials | CPM LICENSED MIDWIFE |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 29th, 2012 |
Last updated | Oct 12th, 2016 - about 8 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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