Bouc, Sarah Jane

Bouc, Sarah Jane is an sole proprietor health care provider with primary practice located at 3509 Dewey St , Manitowoc WI 54220-5813. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bouc, Sarah Jane can be contacted via phone (920) 686-5732.

Contact Information

Primary practice address
3509 Dewey St Manitowoc WI 54220-5813
Phone: (920) 686-5732
Fax: (920) 686-5726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 19724330 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9680-033 Wisconsin

Profile Details

NPI number 1619302239
LBN Legal business name Bouc, Sarah Jane
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2013
Last updated Nov 24th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619302239 NPPES
Wisconsin MEDICAID 100095376

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