Kurstedt, Sarah Diane

Kurstedt, Sarah Diane is an individual health care provider with primary practice located at 199 Hospital Dr Suite 5, Galax VA 24333-2454. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kurstedt, Sarah Diane can be contacted via phone (276) 236-6136.

Contact Information

Primary practice address
199 Hospital Dr Suite 5 Galax VA 24333-2454
Phone: (276) 236-6136
Fax: (276) 236-2536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110-001123 Virginia

Profile Details

NPI number 1104809029
LBN Legal business name Kurstedt, Sarah Diane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 29th, 2008 - about 18 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 1104809029 NPPES
Virginia MEDICAID 8901171
Virginia MEDICAID 008901163
Virginia MEDICAID 010014719

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