Gottfredsen, Sarah

Gottfredsen, Sarah is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gottfredsen, Sarah can be contacted via phone (920) 288-8250.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 288-8250
Fax: (920) 288-8255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3309 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1814 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3309 Wisconsin

Profile Details

NPI number 1689925968
LBN Legal business name Gottfredsen, Sarah
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2012
Last updated Oct 20th, 2023 - 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 1689925968 NPPES
Wisconsin MEDICAID 100038939

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