Pedersen, Sarah J.
Pedersen, Sarah J. is an sole proprietor health care provider with primary practice located at 1811 Meadow Ln , Eau Claire WI 54701-7900. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Pedersen, Sarah J. can be contacted via phone (715) 836-0127.Contact Information
Primary practice address
1811 Meadow Ln
Eau Claire WI 54701-7900
Phone: (715) 836-0127
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 4176-016 | Wisconsin |
Profile Details
| NPI number | 1750587564 |
|---|---|
| LBN Legal business name | Pedersen, Sarah J. |
| Credentials | RDH, CDHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1750587564 | NPPES |
| Wisconsin | MEDICAID | 33806200 |
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