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:
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Health care specialties

SpecialtyCodeLicense #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 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 1154872497 NPPES
Wisconsin Other 7319-33 WISCONSIN STATE LICENSE NUMBER

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