Eck, Stacey Ann

Eck, Stacey Ann is an sole proprietor health care provider with primary practice located at 3821 Dewey St. , Maniowoc WI 54220. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Eck, Stacey Ann can be contacted via phone (920) 682-7585.

Contact Information

Primary practice address
3821 Dewey St. Maniowoc WI 54220
Phone: (920) 682-7585
Fax: (920) 686-3601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10686024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10686-24 Wisconsin

Profile Details

NPI number 1063557262
LBN Legal business name Eck, Stacey Ann
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Aug 3rd, 2012 - about 14 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 1063557262 NPPES
Wisconsin MEDICAID 36144900

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