Stricker, Beau M

Stricker, Beau M is an individual health care provider with primary practice located at 1032 E Sumner St , Hartford WI 53027-1608. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stricker, Beau M can be contacted via phone (262) 673-2300.

Contact Information

Primary practice address
1032 E Sumner St Hartford WI 53027-1608
Phone: (262) 673-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 130161-030 Wisconsin

Profile Details

NPI number 1437134467
LBN Legal business name Stricker, Beau M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Nov 24th, 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 1437134467 NPPES
Wisconsin MEDICAID 44329300
Wisconsin Other 070372

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