Haertl, Sharon R

Haertl, Sharon R is an sole proprietor health care provider with primary practice located at 3433 Charlie Anna Dr , Oshkosh WI 54904-9370. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Haertl, Sharon R can be contacted via phone (920) 233-2072.

Contact Information

Primary practice address
3433 Charlie Anna Dr Oshkosh WI 54904-9370
Phone: (920) 233-2072
Fax: (920) 233-2072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 84349030 Wisconsin

Profile Details

NPI number 1689861577
LBN Legal business name Haertl, Sharon R
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2007
Last updated Sep 25th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689861577 NPPES
Wisconsin MEDICAID 38234500

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