Wissler, Sharon R.

Wissler, Sharon R. is an individual health care provider with primary practice located at 1506 W Reynolds St , Pontiac IL 61764. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wissler, Sharon R. can be contacted via phone (815) 844-6123.

Contact Information

Primary practice address
1506 W Reynolds St Pontiac IL 61764
Phone: (815) 844-6123
Fax: (815) 884-7851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209004260 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209004260 Illinois

Profile Details

NPI number 1700823556
LBN Legal business name Wissler, Sharon R.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700823556 NPPES
Illinois Other 05732097 BCBS GROUP NUMBER
Illinois Other 085507 BCBS GROUP NUMBER
Illinois Other 833230 BCBS GROUP NUMBER

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