Stellick, Mary Jacobson

Stellick, Mary Jacobson is an individual health care provider with primary practice located at 3375 W Brewster St , Appleton WI 54914-1602. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Stellick, Mary Jacobson can be contacted via phone (920) 749-5870.

Contact Information

Primary practice address
3375 W Brewster St Appleton WI 54914-1602
Fax: (920) 749-5874
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 169066 Wisconsin

Profile Details

NPI number 1740466416
LBN Legal business name Stellick, Mary Jacobson
Credentials M.S.E., ECSE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2008
Last updated Jan 12th, 2008 - about 18 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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