Martin, Sandra Denise
Martin, Sandra Denise is an individual health care provider with primary practice located at 170 Kimel Park Dr , Winston-Salem NC 27103-6946. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Martin, Sandra Denise can be contacted via phone (336) 768-1270.Contact Information
Primary practice address
170 Kimel Park Dr
Winston-Salem NC 27103-6946
Phone: (336) 768-1270
Fax: (336) 765-6375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 6010 | North Carolina |
Profile Details
| NPI number | 1568409779 |
|---|---|
| LBN Legal business name | Martin, Sandra Denise |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Apr 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568409779 | NPPES |
| North Carolina | Other | 187647 | MEDCOST PROVIDER # |
| North Carolina | Other | 808087 | MEDCOST PROVIDER # |
| North Carolina | Other | 1412M | MEDCOST PROVIDER # |
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