Falkenberg, Stacey

Falkenberg, Stacey is an individual health care provider with primary practice located at 17700 W Capitol Dr , Brookfield WI 53045-2006. 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. Falkenberg, Stacey can be contacted via phone (414) 305-0489.

Contact Information

Primary practice address
17700 W Capitol Dr Brookfield WI 53045-2006
Phone: (414) 305-0489
Fax: (262) 781-3080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10275-024 Wisconsin

Profile Details

NPI number 1407026438
LBN Legal business name Falkenberg, Stacey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Feb 27th, 2010 - about 16 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 1407026438 NPPES
Wisconsin Other 000080125 MEDICARE

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