Stalcup, Bret

Stalcup, Bret is an individual health care provider with primary practice located at 840 State Road 136 Ste 1 , Baraboo WI 53913-9252. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Stalcup, Bret can be contacted via phone (608) 477-9858.

Contact Information

Primary practice address
840 State Road 136 Ste 1 Baraboo WI 53913-9252
Phone: (608) 477-9858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 756-228 Wisconsin

Profile Details

NPI number 1962078188
LBN Legal business name Stalcup, Bret
Credentials MFT-IT, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2021
Last updated Jun 25th, 2021 - about 5 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 1962078188 NPPES
Wisconsin MEDICAID 100170870

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