Provider Demographics
NPI:1154639862
Name:BARTEL, SARAH ELLEN (RPH)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELLEN
Last Name:BARTEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 MARQUETTE DR
Mailing Address - Street 2:PO BOX 197
Mailing Address - City:KEWAUNEE
Mailing Address - State:WI
Mailing Address - Zip Code:54216-1772
Mailing Address - Country:US
Mailing Address - Phone:920-388-2227
Mailing Address - Fax:920-388-3383
Practice Address - Street 1:931 MARQUETTE DR
Practice Address - Street 2:
Practice Address - City:KEWAUNEE
Practice Address - State:WI
Practice Address - Zip Code:54216-1772
Practice Address - Country:US
Practice Address - Phone:920-388-2227
Practice Address - Fax:920-388-3383
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26019858A183500000X
WI13185-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist