Williams, Stacy Mae

Williams, Stacy Mae is an individual health care provider with primary practice located at 1111 Langlade Road , Antigo WI 54409. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Williams, Stacy Mae can be contacted via phone (715) 627-4383.

Contact Information

Primary practice address
1111 Langlade Road Antigo WI 54409
Phone: (715) 627-4383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 10137-16 Wisconsin

Profile Details

NPI number 1457991424
LBN Legal business name Williams, Stacy Mae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2020
Last updated Jan 8th, 2020 - about 5 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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