Zinuticz, Stacy E

Zinuticz, Stacy E is an individual health care provider with primary practice located at W156N8327 Pilgrim Rd Ste 402 , Menomonee Falls WI 53051-3776. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Zinuticz, Stacy E can be contacted via phone (262) 251-1112.

Contact Information

Primary practice address
W156N8327 Pilgrim Rd Ste 402 Menomonee Falls WI 53051-3776
Phone: (262) 251-1112
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5129-125 Wisconsin

Profile Details

NPI number 1639465933
LBN Legal business name Zinuticz, Stacy E
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2011
Last updated Dec 12th, 2019 - about 6 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 1639465933 NPPES
Wisconsin Other 5129-125 WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

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