Sardas, Isabela

Sardas, Isabela is an individual health care provider with primary practice located at 11518 N Port Washington Rd Ste 202 , Mequon WI 53092-3443. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Sardas, Isabela can be contacted via phone (262) 244-6177.

Contact Information

Primary practice address
11518 N Port Washington Rd Ste 202 Mequon WI 53092-3443
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2156-057 Wisconsin

Profile Details

NPI number 1710151246
LBN Legal business name Sardas, Isabela
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Dec 7th, 2020 - about 5 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 1710151246 NPPES
Wisconsin MEDICAID 3912570

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