Conrad, Sara M
Conrad, Sara M is an individual health care provider with primary practice located at 3431 N 13Th St , Sheboygan WI 53083-2938. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Conrad, Sara M can be contacted via phone (920) 457-5046.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 1987-027 | Wisconsin |
Profile Details
NPI number | 1710194923 |
---|---|
LBN Legal business name | Conrad, Sara M |
Credentials | Certified Occupational Therapy Assistant (COTA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1710194923 | NPPES |
Wisconsin | MEDICAID | 41044800 |
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