Strother, Stephen Vance

Strother, Stephen Vance is an individual health care provider with primary practice located at 19333 W North Ave , Brookfield WI 53045-4132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Strother, Stephen Vance can be contacted via phone (262) 780-4111.

Contact Information

Primary practice address
19333 W North Ave Brookfield WI 53045-4132
Fax: (262) 780-4120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 27093 Wisconsin

Profile Details

NPI number 1417063231
LBN Legal business name Strother, Stephen Vance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Sep 23rd, 2008 - about 17 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 1417063231 NPPES
Wisconsin MEDICAID 30663400

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