Individual
MRS. SUSAN CAROL SCHAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,RCS
Contact information
Practice address
207 CARVER ST, MOUNT HOREB, WI 53572-2184
(608) 437-2202
Mailing address
207 CARVER ST, MOUNT HOREB, WI 53572-2184
(608) 437-2202
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28582031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39936200
—
WI
Enumeration date
05/31/2008
Last updated
05/31/2008
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