Carroll, Sandra Jean

Carroll, Sandra Jean is an individual health care provider with primary practice located at 117 Vip Dr Suite 120, Wexford PA 15090-6932. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carroll, Sandra Jean can be contacted via phone (724) 935-5330.

Contact Information

Primary practice address
117 Vip Dr Suite 120 Wexford PA 15090-6932
Phone: (724) 935-5330
Fax: (724) 935-5098
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP009579 Pennsylvania

Profile Details

NPI number 1639350796
LBN Legal business name Carroll, Sandra Jean
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated May 19th, 2009 - about 17 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 1639350796 NPPES
Pennsylvania Other POO692430 RR MEDICARE

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