Stam, Kathryn M.

Stam, Kathryn M. is an individual health care provider with primary practice located at 2605 S Oneida St Ste 107 , Green Bay WI 54304-5331. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Stam, Kathryn M. can be contacted via phone (920) 432-0031.

Contact Information

Primary practice address
2605 S Oneida St Ste 107 Green Bay WI 54304-5331
Phone: (920) 432-0031
Fax: (920) 432-2260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X
Other Service Providers / Midwife 176B00000X 148857 Wisconsin

Profile Details

NPI number 1407189285
LBN Legal business name Stam, Kathryn M.
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2009
Last updated Mar 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407189285 NPPES
Wisconsin Other 61363 DEAN HEALTH INSURANCE

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