Schaefer, Sandra

Schaefer, Sandra is an individual health care provider with primary practice located at 611 Veterans Ave Ste 106 , West Bend WI 53090-2545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Schaefer, Sandra can be contacted via phone (262) 353-4460.

Contact Information

Primary practice address
611 Veterans Ave Ste 106 West Bend WI 53090-2545
Fax: (262) 353-4461
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2706542 Florida

Profile Details

NPI number 1750606737
LBN Legal business name Schaefer, Sandra
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2010
Last updated Aug 29th, 2019 - about 6 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 1750606737 NPPES
Wisconsin MEDICAID 1750606737

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