Haberkost, Sandy

Haberkost, Sandy is an sole proprietor health care provider with primary practice located at 2831 Stiegler Rd , Medina OH 44256-9431. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Haberkost, Sandy can be contacted via phone (330) 725-6025.

Contact Information

Primary practice address
2831 Stiegler Rd Medina OH 44256-9431
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1487258620
LBN Legal business name Haberkost, Sandy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2020
Last updated Nov 29th, 2020 - about 6 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 1487258620 NPPES
Illinois MEDICAID 910001023569

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