Cruz, Stephen T

Cruz, Stephen T is an individual health care provider with primary practice located at 101 Main St , Neenah WI 54956-2570. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cruz, Stephen T can be contacted via phone (920) 727-5810.

Contact Information

Primary practice address
101 Main St Neenah WI 54956-2570
Phone: (920) 727-5810
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41787 Wisconsin

Profile Details

NPI number 1043204951
LBN Legal business name Cruz, Stephen T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 4th, 2020 - 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 1043204951 NPPES
Wisconsin MEDICAID 34101500

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