Mosher, Stacey
Mosher, Stacey is an individual health care provider with primary practice located at 251 E Maple St , Elkhart Lake WI 53020-1975. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Mosher, Stacey can be contacted via phone (920) 876-3307.Contact Information
Primary practice address
251 E Maple St
Elkhart Lake WI 53020-1975
Phone: (920) 876-3307
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 4039-19 | Wisconsin |
Profile Details
| NPI number | 1073212502 |
|---|---|
| LBN Legal business name | Mosher, Stacey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2023 |
| Last updated | Feb 23rd, 2023 - about 3 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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