Cochran-Sandoval, Shirley Jean
Cochran-Sandoval, Shirley Jean is an individual health care provider with primary practice located at 7840 Washington Ave , Kansas City KS 66112-2152. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cochran-Sandoval, Shirley Jean can be contacted via phone (913) 328-4600.Contact Information
Primary practice address
7840 Washington Ave
Kansas City KS 66112-2152
Phone: (913) 328-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3127 | Kansas |
Profile Details
| NPI number | 1457870263 |
|---|---|
| LBN Legal business name | Cochran-Sandoval, Shirley Jean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2017 |
| Last updated | Sep 12th, 2017 - about 9 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 | 1457870263 | NPPES |
| Kansas | Other | 3620000 | MEDICARE |
| Kansas | MEDICAID | 100098080A | MEDICARE |
| Kansas | Other | 100098080C | MEDICARE |
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