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Contact Information

SANDRA L BACK, RN
1402 HEWETT ST
NEILLSVILLE, WI54456
 Phone: 715-743-2497
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SANDRA L BACK · (Female)

NPI # 1679883433
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/14/2010
Last updated 10/25/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 152903
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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