Andersen, Sondra Suzette

Andersen, Sondra Suzette is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Suite 104, Goodyear AZ 85395-2624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Andersen, Sondra Suzette can be contacted via phone (623) 512-4176.

Contact Information

Primary practice address
13555 W Mcdowell Rd Suite 104 Goodyear AZ 85395-2624
Phone: (623) 512-4176
Fax: (623) 512-4199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3020 Arizona

Profile Details

NPI number 1982710240
LBN Legal business name Andersen, Sondra Suzette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Oct 23rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982710240 NPPES
Arizona MEDICAID 922733

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