Thiede, Stephanie
Thiede, Stephanie is an individual health care provider with primary practice located at 2801 Coho St Suite 300, Madison WI 53713-4574. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Thiede, Stephanie can be contacted via phone (608) 273-3232.Contact Information
Primary practice address
2801 Coho St Suite 300
Madison WI 53713-4574
Phone: (608) 273-3232
Fax: (608) 273-3426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1694-154 | Wisconsin |
Profile Details
| NPI number | 1164627055 |
|---|---|
| LBN Legal business name | Thiede, Stephanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164627055 | NPPES |
| Wisconsin | MEDICAID | 42562900 |
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