Stormont, Annette Z

Stormont, Annette Z is an individual health care provider with primary practice located at 515 22Nd Ave , Monroe WI 53566-1569. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Stormont, Annette Z can be contacted via phone (608) 324-2000.

Contact Information

Primary practice address
515 22Nd Ave Monroe WI 53566-1569
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 27335 Wisconsin

Profile Details

NPI number 1255435731
LBN Legal business name Stormont, Annette Z
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255435731 NPPES
Other 10898 MEDICAID DEAN
Other 30683700 MEDICAID DEAN
Other 90002361 MEDICAID DEAN
MEDICAID 30683700 MEDICAID DEAN
Other 39080850939 MEDICAID DEAN
Other 16900226 MEDICAID DEAN
Other 1003634 MEDICAID DEAN
Other 10898 MEDICAID DEAN

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