Sandefur, Erin
Sandefur, Erin is an sole proprietor health care provider with primary practice located at 1301 White Dr , Batesville AR 72501-9467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sandefur, Erin can be contacted via phone (870) 793-5504.Contact Information
Primary practice address
1301 White Dr
Batesville AR 72501-9467
Phone: (870) 793-5504
Fax: (870) 262-3253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004295 | Arkansas |
Profile Details
| NPI number | 1184015422 |
|---|---|
| LBN Legal business name | Sandefur, Erin |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2015 |
| Last updated | May 27th, 2016 - about 10 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 | 1184015422 | NPPES |
| Arkansas | MEDICAID | 210465758 | |
| Arkansas | Other | 5BA31 |
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