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Contact Information

SANDRA MAGNUSON
220 WASHINGTON AVE
OSHKOSH, WI54901-5030
 Phone: 920-236-4600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SANDRA MAGNUSON · (Female)

NPI # 1013079300
Status Active
Credentials
Entity Individual
Enumeration date 12/14/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3467-123
  • WI Medicaid 42139300
  • WI Medicaid 42156000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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