Wichlacz, Sharon Marie

Wichlacz, Sharon Marie is an sole proprietor health care provider with primary practice located at W10148 Hintz Rd , New London WI 54961-9258. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wichlacz, Sharon Marie can be contacted via phone (920) 982-2329.

Contact Information

Primary practice address
W10148 Hintz Rd New London WI 54961-9258
Phone: (920) 982-2329
Fax: (920) 982-9729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 99317-030 Wisconsin

Profile Details

NPI number 1912112913
LBN Legal business name Wichlacz, Sharon Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2007
Last updated Jul 8th, 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 1912112913 NPPES
Wisconsin MEDICAID 39937000

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