Stathas, Peter

Stathas, Peter is an individual health care provider with primary practice located at 6908 N Santa Monica Blvd , Fox Point WI 53217-3942. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stathas, Peter can be contacted via phone (414) 352-2082.

Contact Information

Primary practice address
6908 N Santa Monica Blvd Fox Point WI 53217-3942
Phone: (414) 352-2082
Fax: (414) 352-5279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1013930650
LBN Legal business name Stathas, Peter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 13th, 2010 - about 15 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 1013930650 NPPES
Wisconsin MEDICAID 40185600

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