Bleecker, Sherry
Bleecker, Sherry is an sole proprietor health care provider with primary practice located at W6354 Briar Ln , Fort Atkinson WI 53538-9342. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bleecker, Sherry can be contacted via phone (920) 650-7149.Contact Information
Primary practice address
W6354 Briar Ln
Fort Atkinson WI 53538-9342
Phone: (920) 650-7149
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 32462 | Wisconsin |
Profile Details
| NPI number | 1457892093 |
|---|---|
| LBN Legal business name | Bleecker, Sherry |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2017 |
| Last updated | Mar 15th, 2017 - about 8 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 | 1457892093 | NPPES |
| Wisconsin | MEDICAID | 32462 |
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