Bakken, Sara M
Bakken, Sara M is an sole proprietor health care provider with primary practice located at 718 Jupiter Dr , Madison WI 53718-2950. She recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as her primary health care specialty. Bakken, Sara M can be contacted via phone (608) 663-8706.Contact Information
Primary practice address
718 Jupiter Dr
Madison WI 53718-2950
Phone: (608) 663-8706
Fax: (608) 251-2868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 5541-024 | Wisconsin |
Profile Details
| NPI number | 1144493404 |
|---|---|
| LBN Legal business name | Bakken, Sara M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Apr 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144493404 | NPPES |
| Wisconsin | MEDICAID | 40281600 |
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