Stallbaum, Brenda

Stallbaum, Brenda is an individual health care provider with primary practice located at 339 Reed Ave , Manitowoc WI 54220-2020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stallbaum, Brenda can be contacted via phone (920) 320-8600.

Contact Information

Primary practice address
339 Reed Ave Manitowoc WI 54220-2020
Phone: (920) 320-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7373-33 Wisconsin

Profile Details

NPI number 1124565882
LBN Legal business name Stallbaum, Brenda
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2017
Last updated Jun 21st, 2019 - about 7 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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