Landis, Stephanie

Landis, Stephanie is an individual health care provider with primary practice located at 1020 Saint Albert The Great Dr , Sun Prairie WI 53590-4425. 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. Landis, Stephanie can be contacted via phone (815) 761-4863.

Contact Information

Primary practice address
1020 Saint Albert The Great Dr Sun Prairie WI 53590-4425
Phone: (815) 761-4863
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1331024 Wisconsin

Profile Details

NPI number 1346603669
LBN Legal business name Landis, Stephanie
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2016
Last updated Apr 4th, 2016 - about 10 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 1346603669 NPPES
Wisconsin MEDICAID 100028270

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