Winter, Stacy Lynn
Winter, Stacy Lynn is an individual health care provider with primary practice located at 9576 Highway 70 , Minocqua WI 54548-9067. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Winter, Stacy Lynn can be contacted via phone (715) 358-1000.Contact Information
Primary practice address
9576 Highway 70
Minocqua WI 54548-9067
Phone: (715) 358-1000
Fax: (715) 358-1156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 917 | Wisconsin |
Profile Details
| NPI number | 1104866763 |
|---|---|
| LBN Legal business name | Winter, Stacy Lynn |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jun 19th, 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 | 1104866763 | NPPES |
| Wisconsin | MEDICAID | 42965500 |
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