Sandercock, Jean
Sandercock, Jean is an individual health care provider with primary practice located at 1000 Health Center Dr , Mattoon IL 61938-9261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sandercock, Jean can be contacted via phone (217) 258-4997.Contact Information
Primary practice address
1000 Health Center Dr
Mattoon IL 61938-9261
Phone: (217) 258-4997
Fax: (217) 258-2274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209-015007 | Illinois |
Profile Details
| NPI number | 1861943011 |
|---|---|
| LBN Legal business name | Sandercock, Jean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2016 |
| Last updated | Jan 7th, 2019 - about 7 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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