Wiltz, Stella
Wiltz, Stella is an individual health care provider with primary practice located at 402 Richard Street , Breaux Bridge LA 70517-7051. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Wiltz, Stella can be contacted via phone (337) 278-1810.Contact Information
Primary practice address
402 Richard Street
Breaux Bridge LA 70517-7051
Phone: (337) 278-1810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 11226 | Louisiana |
Profile Details
| NPI number | 1083829766 |
|---|---|
| LBN Legal business name | Wiltz, Stella |
| Credentials | OWNER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | May 20th, 2022 - about 4 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 | 1083829766 | NPPES |
| Louisiana | MEDICAID | 84-368-5768 | |
| Louisiana | MEDICAID | 1721999 |
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