Massick, Stephen A

Massick, Stephen A is an individual health care provider with primary practice located at 420 E Division St , Fond Du Lac WI 54935-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Massick, Stephen A can be contacted via phone (920) 926-8450.

Contact Information

Primary practice address
420 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-8450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 17064 Wisconsin

Profile Details

NPI number 1942282298
LBN Legal business name Massick, Stephen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
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 1942282298 NPPES
Wisconsin Other WI0146 JOHN DEERE
Wisconsin Other 12583 JOHN DEERE
Wisconsin MEDICAID 31075000 JOHN DEERE
Wisconsin Other 39080723604 JOHN DEERE
Wisconsin Other 17064 JOHN DEERE

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