Stiennon, Michael J
Stiennon, Michael J is an individual health care provider with primary practice located at 855 S Main St , Oconto Falls WI 54154-1241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stiennon, Michael J can be contacted via phone (920) 846-3444.Contact Information
Primary practice address
855 S Main St
Oconto Falls WI 54154-1241
Phone: (920) 846-3444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 21088-20 | Wisconsin |
Profile Details
| NPI number | 1134144397 |
|---|---|
| LBN Legal business name | Stiennon, Michael J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134144397 | NPPES |
| Wisconsin | MEDICAID | 30784900 |
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