Faber, Stephen Roelof

Faber, Stephen Roelof is an individual health care provider with primary practice located at 2901 Church St , Stevens Point WI 54481. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Faber, Stephen Roelof can be contacted via phone (715) 344-9684.

Contact Information

Primary practice address
2901 Church St Stevens Point WI 54481
Fax: (715) 344-1684
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2809 Wisconsin

Profile Details

NPI number 1851406318
LBN Legal business name Faber, Stephen Roelof
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851406318 NPPES
Wisconsin MEDICAID 33436400

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