Slock, Stephanie J
Slock, Stephanie J is an individual health care provider with primary practice located at 8905 W Lincoln Ave Ste 409 , West Allis WI 53227-2469. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Slock, Stephanie J can be contacted via phone (414) 328-8770.Contact Information
Primary practice address
8905 W Lincoln Ave Ste 409
West Allis WI 53227-2469
Phone: (414) 328-8770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 51242 | Wisconsin |
Profile Details
| NPI number | 1033278478 |
|---|---|
| LBN Legal business name | Slock, Stephanie J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Nov 23rd, 2021 - about 4 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 | 1033278478 | NPPES |
| Wisconsin | MEDICAID | 100004140 |
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