Cunningham, Stacey R
Cunningham, Stacey R is an individual health care provider with primary practice located at 505 Keller Ave S , Amery WI 54001. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cunningham, Stacey R can be contacted via phone (715) 268-6900.Contact Information
Primary practice address
505 Keller Ave S
Amery WI 54001
Phone: (715) 268-6900
Fax: (715) 268-6895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2240154 | Wisconsin |
Profile Details
| NPI number | 1912069675 |
|---|---|
| LBN Legal business name | Cunningham, Stacey R |
| Credentials | SLP MSE CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1912069675 | NPPES |
| Other | HP48076 | HEALTH PARTNERS | |
| MEDICAID | 42793800 | HEALTH PARTNERS | |
| Other | 304K9CU | HEALTH PARTNERS | |
| Other | 4600981 | HEALTH PARTNERS |
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