Kordus, Sarah Katherine
Kordus, Sarah Katherine is an individual health care provider with primary practice located at 21425 Spring St , Union Grove WI 53182-9707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kordus, Sarah Katherine can be contacted via phone (262) 878-6742.Contact Information
Primary practice address
21425 Spring St
Union Grove WI 53182-9707
Phone: (262) 878-6742
Fax: (262) 878-6746
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 7319 | Wisconsin |
Profile Details
NPI number | 1154872497 |
---|---|
LBN Legal business name | Kordus, Sarah Katherine |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2016 |
Last updated | Dec 2nd, 2021 - about 3 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 | 1154872497 | NPPES |
Wisconsin | Other | 7319-33 | WISCONSIN STATE LICENSE NUMBER |
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