Stachon, Sarah N

Stachon, Sarah N is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stachon, Sarah N can be contacted via phone (414) 333-6169.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (414) 333-6169
Fax: (262) 948-7329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1969023 Wisconsin

Profile Details

NPI number 1144317736
LBN Legal business name Stachon, Sarah N
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Nov 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144317736 NPPES
Wisconsin MEDICAID 42887100

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