Wachal, Sandra K

Wachal, Sandra K is an individual health care provider with primary practice located at 834 Teutonia Dr , Burlington WI 53105-1034. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wachal, Sandra K can be contacted via phone (262) 767-0219.

Contact Information

Primary practice address
834 Teutonia Dr Burlington WI 53105-1034
Phone: (262) 767-0219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 22203-031 Wisconsin

Profile Details

NPI number 1194787143
LBN Legal business name Wachal, Sandra K
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 9th, 2007 - 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 1194787143 NPPES
Wisconsin MEDICAID 38297600

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