Clouden, Sara Lynn
Clouden, Sara Lynn is an individual health care provider with primary practice located at 325 Essjay Rd , Williamsville NY 14221-8243. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Clouden, Sara Lynn can be contacted via phone (716) 630-1000.Contact Information
Primary practice address
325 Essjay Rd
Williamsville NY 14221-8243
Phone: (716) 630-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 012390 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 012390 | New York |
Profile Details
| NPI number | 1316111644 |
|---|---|
| LBN Legal business name | Clouden, Sara Lynn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2008 |
| Last updated | Dec 6th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316111644 | NPPES |
| New York | MEDICAID | 02990792 |
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