Pepper, Sally

Pepper, Sally is an sole proprietor health care provider with primary practice located at W1769 County Road J , Mukwonago WI 53149-1833. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Pepper, Sally can be contacted via phone (262) 684-5265.

Contact Information

Primary practice address
W1769 County Road J Mukwonago WI 53149-1833
Phone: (262) 684-5265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0156675-030 Wisconsin

Profile Details

NPI number 1659529634
LBN Legal business name Pepper, Sally
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2008
Last updated Sep 3rd, 2008 - 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 1659529634 NPPES
Wisconsin MEDICAID 35052900

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