Doxtater, Sandra L.

Doxtater, Sandra L. is an individual health care provider with primary practice located at 959 N Mayfair Rd Pain Management Center, Milwaukee WI 53226-3465. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Doxtater, Sandra L. can be contacted via phone (414) 456-7610.

Contact Information

Primary practice address
959 N Mayfair Rd Pain Management Center Milwaukee WI 53226-3465
Phone: (414) 456-7610
Fax: (414) 456-6024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1402 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 1402 Wisconsin

Profile Details

NPI number 1881895209
LBN Legal business name Doxtater, Sandra L.
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated May 5th, 2016 - about 10 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 1881895209 NPPES
Wisconsin MEDICAID 1881895209

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