Weiss, Stephanie A

Weiss, Stephanie A is an individual health care provider with primary practice located at 1700 W Paradise Dr , West Bend WI 53095-9795. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Weiss, Stephanie A can be contacted via phone (262) 334-3451.

Contact Information

Primary practice address
1700 W Paradise Dr West Bend WI 53095-9795
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 288 Wisconsin

Profile Details

NPI number 1366524191
LBN Legal business name Weiss, Stephanie A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Apr 5th, 2013 - about 13 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 1366524191 NPPES
Other 2023 INTERNAL ID-MOTOR VEHICLE ID

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