Heberlein, Sara Mockert
Heberlein, Sara Mockert is an individual health care provider with primary practice located at 1300 Capitol Dr , Pewaukee WI 53072-2535. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Heberlein, Sara Mockert can be contacted via phone (262) 695-6744.Contact Information
Primary practice address
1300 Capitol Dr
Pewaukee WI 53072-2535
Phone: (262) 695-6744
Fax: (262) 695-6466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6146-24 | Wisconsin |
Profile Details
| NPI number | 1639131451 |
|---|---|
| LBN Legal business name | Heberlein, Sara Mockert |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Dec 13th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639131451 | NPPES |
| Wisconsin | MEDICAID | 40439500 |
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