Stoll, Adam M

Stoll, Adam M is an individual health care provider with primary practice located at 12225 71St St , Kenosha WI 53142-7320. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stoll, Adam M can be contacted via phone (262) 948-4870.

Contact Information

Primary practice address
12225 71St St Kenosha WI 53142-7320
Phone: (262) 948-4870
Fax: (262) 948-4871
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 128577-121 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8307 Wisconsin

Profile Details

NPI number 1023354214
LBN Legal business name Stoll, Adam M
Credentials MSW, APSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2012
Last updated Sep 20th, 2024 - about 2 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 1023354214 NPPES
Wisconsin MEDICAID 100028171

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