Provider Demographics
NPI:1386044899
Name:BISKOBING, SARAH M (RDN, CD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:M
Last Name:BISKOBING
Suffix:
Gender:F
Credentials:RDN, CD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:M
Other - Last Name:KNUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, CD
Mailing Address - Street 1:155 N MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-3355
Mailing Address - Country:US
Mailing Address - Phone:262-477-3662
Mailing Address - Fax:
Practice Address - Street 1:155 N MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-3355
Practice Address - Country:US
Practice Address - Phone:262-477-3662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2463-29133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered