Stephenson, Alyssa K

Stephenson, Alyssa K is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Stephenson, Alyssa K can be contacted via phone (920) 926-8282.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-8335
Phone: (920) 926-8282
Fax: (920) 926-8971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 866-25 Wisconsin

Profile Details

NPI number 1871563601
LBN Legal business name Stephenson, Alyssa K
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 16th, 2020 - about 6 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 1871563601 NPPES
Wisconsin MEDICAID 43234400

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