Nagorski, Stacie
Nagorski, Stacie is an individual health care provider with primary practice located at 4351 W College Ave Ste 410 , Appleton WI 54914. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Nagorski, Stacie can be contacted via phone (800) 438-1772.Contact Information
Primary practice address
4351 W College Ave Ste 410
Appleton WI 54914
Phone: (800) 438-1772
Fax: (262) 345-5562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6468-125 | Wisconsin |
Profile Details
| NPI number | 1588039663 |
|---|---|
| LBN Legal business name | Nagorski, Stacie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2015 |
| Last updated | Aug 20th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588039663 | NPPES |
| Wisconsin | MEDICAID | 10049991 |
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