Sandstrom, Lisa Marie

Sandstrom, Lisa Marie is an sole proprietor health care provider with primary practice located at 218 Elm Ct , Rhinelander WI 54501-3409. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Sandstrom, Lisa Marie can be contacted via phone (715) 499-4949.

Contact Information

Primary practice address
218 Elm Ct Rhinelander WI 54501-3409
Phone: (715) 499-4949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 160147-030 Wisconsin
Nursing Service Providers / Home Health 163WH0200X 160147-030 Wisconsin

Profile Details

NPI number 1144472788
LBN Legal business name Sandstrom, Lisa Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2008
Last updated Oct 14th, 2008 - about 18 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 1144472788 NPPES
Wisconsin MEDICAID 35070500

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