Stankevych, Natalie A

Stankevych, Natalie A is an individual health care provider with primary practice located at 923 Eliza St , Green Bay WI 54301-3234. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stankevych, Natalie A can be contacted via phone (920) 965-4700.

Contact Information

Primary practice address
923 Eliza St Green Bay WI 54301-3234
Fax: (920) 965-4701
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2819-035 Wisconsin

Profile Details

NPI number 1770628489
LBN Legal business name Stankevych, Natalie A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770628489 NPPES
Wisconsin MEDICAID 38614200
Wisconsin Other 000207100

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