Ten Eyck, Sarah Joanna

Ten Eyck, Sarah Joanna is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ten Eyck, Sarah Joanna can be contacted via phone (262) 948-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003081 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2208 Wisconsin

Profile Details

NPI number 1184807158
LBN Legal business name Ten Eyck, Sarah Joanna
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2007
Last updated Nov 14th, 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 1184807158 NPPES
Wisconsin MEDICAID 100007504

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