Whitt, Stephanie L

Whitt, Stephanie L is an individual health care provider with primary practice located at 1215 George Towne Drive , Pewaukee WI 53072-2731. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Whitt, Stephanie L can be contacted via phone (262) 691-3849.

Contact Information

Primary practice address
1215 George Towne Drive Pewaukee WI 53072-2731
Fax: (262) 691-4287
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47780 Wisconsin

Profile Details

NPI number 1609826999
LBN Legal business name Whitt, Stephanie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 13th, 2019 - about 6 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 1609826999 NPPES
Wisconsin MEDICAID 1609826999

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