Ryan, Stacy

Ryan, Stacy is an individual health care provider with primary practice located at 10425 W North Ave Wauwatosa, Wauwatosa WI 53226-2416. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Ryan, Stacy can be contacted via phone (414) 607-1830.

Contact Information

Primary practice address
10425 W North Ave Wauwatosa Wauwatosa WI 53226-2416
Phone: (414) 607-1830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 486-156 Wisconsin

Profile Details

NPI number 1538192927
LBN Legal business name Ryan, Stacy
Credentials AU.D., CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
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 1538192927 NPPES
Wisconsin MEDICAID 41153200

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