Cole, Sandra A

Cole, Sandra A is an individual health care provider with primary practice located at 1316 Mercy Dr , Muskegon MI 49444-1835. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Cole, Sandra A can be contacted via phone (946) 123-1739.

Contact Information

Primary practice address
1316 Mercy Dr Muskegon MI 49444-1835
Phone: (946) 123-1739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301506670 Michigan

Profile Details

NPI number 1447785944
LBN Legal business name Cole, Sandra A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2017
Last updated Apr 27th, 2022 - about 4 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 1447785944 NPPES
Michigan Other 4301506670 MICHIGAN STATE LICENSE
Michigan MEDICAID 20220323695961 MICHIGAN STATE LICENSE

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